MR. GABRIEL THIERRY BURTON (OD) – Optometrist, NPI 1114272200

MR. GABRIEL THIERRY BURTON (OD) is a healthcare provider. based in Ferguson, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2012024705 (MO). The NPI Number for MR. GABRIEL THIERRY BURTON (OD) is 1114272200

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. GABRIEL THIERRY BURTON (OD)
NPI
1114272200
Phone
(314) 522-8773
Address
248 S FLORISSANT RD
Enumeration Date
16 July 2012
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3144546026
Graduation Year
2012 (14 years ago)
PAC ID
8921257445
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20120927000111
Address ID
MO631101002SA1XXXXPLXX315

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

863 OPTOMETRY in MO

Provider Addresses for MR. GABRIEL THIERRY BURTON (OD)

  • 248 S FLORISSANT RD

    FERGUSON, MO 631352736

    Phone: (314) 522-8773

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 454-6026

    Fax: (866) 936-4559

    Type: Mailing

  • 1 CHILDRENS PL

    STE 3110

    SAINT LOUIS, MO 631101002

    Phone: (314) 454-6026

    Fax: (866) 936-4559

    Type: Location

  • 660 S EUCLID AVE

    CB 8096

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-3937

    Fax: (314) 362-3725

    Type: Mailing

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: 2012-09-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120927000111IOptometryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MR. GABRIEL THIERRY BURTON (OD) in U.S. healthcare records?
The official identifier for MR. GABRIEL THIERRY BURTON (OD) is NPI 1114272200.
Active or inactive — what applies to MR. GABRIEL THIERRY BURTON (OD)?
You should see MR. GABRIEL THIERRY BURTON (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. GABRIEL THIERRY BURTON (OD)?
MR. GABRIEL THIERRY BURTON (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Missouri is MR. GABRIEL THIERRY BURTON (OD) registered?
Use Ferguson, Missouri as the headline location for MR. GABRIEL THIERRY BURTON (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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