JOHN STANLEY BURNHAM (M.D.) – Family Medicine Physician, NPI 1790766012
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for JOHN STANLEY BURNHAM (M.D.)
1716, North Cross Street, Heritage Village, Dover, Tuscarawas County, Ohio, 44622, United States
DOVER, OH 446221043
Phone: (330) 364-8868
Fax: (330) 364-4732
Type: Location
110 DUBLIN DRIVE
SUITE A
DOVER, OH 44622
Phone: (330) 364-8868
Fax: (330) 364-4732
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$97
General + Research + Ownership
Payments
6
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-10-26
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 |
|---|---|---|---|---|
| I20091026000135 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 318 | 171 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 233 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 88 | $0 |
Insurance plans in this area (ZIP 44622)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 81002 | Urinalysis, manual test | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Emergency Medicine, Cardiovascular Disease (Cardiology) | PA | |
| - | OH | |
| Nurse Practitioner | OH |
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