DR. MICHAEL TODD BURTIS (M.D.) – Diagnostic Radiology Physician, NPI 1396765335
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
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Provider Addresses for DR. MICHAEL TODD BURTIS (M.D.)
531, 4th Avenue, Lewiston, Nez Perce County, Idaho, 83501, United States
LEWISTON, ID 835012450
Phone: (208) 743-4393
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150831000866 | I | Diagnostic Radiology | ID | TBD |
| I20200731000944 | I | Diagnostic Radiology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 773 | 773 | $0 |
| 77063 | Screening 3d breast mammography | 623 | 623 | $0 |
| 71045 | X-ray of chest, 1 view | 529 | 450 | $0 |
| 71046 | X-ray of chest, 2 views | 292 | 278 | $0 |
| 70450 | Ct scan head or brain without contrast | 278 | 245 | $0 |
Insurance plans in this area (ZIP 83501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | ID | 71010 | X-ray of chest, 1 view, front | 613 | 459 |
| DIAGNOSTIC RADIOLOGY | ID | 71250 | CT scan chest | 71 | 70 |
| DIAGNOSTIC RADIOLOGY | ID | 73562 | X-ray of knee, 3 views | 49 | 46 |
| DIAGNOSTIC RADIOLOGY | ID | 73630 | X-ray of foot, minimum of 3 views | 34 | 33 |
| DIAGNOSTIC RADIOLOGY | ID | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 65 | 59 |
| DIAGNOSTIC RADIOLOGY | ID | 93922 | Ultrasound study of arteries of both arms and legs | 44 | 43 |
| DIAGNOSTIC RADIOLOGY | ID | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | ID | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 64 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
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| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Nurse Practitioner | ID |
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