DR. RANDALL D BURR (M.D.) – Dermatology Physician, NPI 1740217603
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. RANDALL D BURR (M.D.)
1618, South Millennium Way, Meridian, Ada County, Idaho, 83642, United States
SUITE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
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)
CMS reports 90 Open Payments records for all available years, with a total value of $1,815.
Total Amount is formed as General ($1,815) + Research ($0) + Ownership ($0) = $1,815.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($707).
Total Amount
$1,815
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $707 |
| Novartis Pharmaceuticals Corporation | $365 |
| Regeneron Healthcare Solutions, Inc. | $336 |
| GENZYME CORPORATION | $103 |
| LEO Pharma Inc. | $87 |
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: 2005-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20051201000552 | I | Dermatology | ID | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,109 | 619 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,008 | 759 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 722 | 600 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 641 | 561 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 332 | 290 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | ID | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 97 | 93 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | MN | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID |
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