KENNETH SCOTT BURNHAM (DO) – Emergency Medicine Physician, NPI 1396705885
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KENNETH SCOTT BURNHAM (DO)
6896, West Snowville Road, Brecksville, Cuyahoga County, Ohio, 44141, United States
BRECKSVILLE, OH 441413214
Phone:
Type: Mailing
ProMedica Toledo Hospital, 2142, North Cove Boulevard, Toledo, Lucas County, Ohio, 43606, United States
TOLEDO, OH 436063895
Phone: (419) 291-4101
Type: Location
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: 2005-01-21
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 |
|---|---|---|---|---|
| I20050121000366 | I | Emergency Medicine | OH | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 57 | 54 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 52 | 50 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 29 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 44141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| P A T H O L O G Y | WI | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice | OH | |
| - | OH | |
| P A T H O L O G Y | WI | |
| Physician Assistant | OH | |
| P A T H O L O G Y | OH |
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