DR. ELISA A BURGESS (MD) – Plastic Surgery Physician, NPI 1003805417

DR. ELISA A BURGESS (MD) is a healthcare provider. based in Portland, Oregon. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. MD18936 (OR). The NPI Number for DR. ELISA A BURGESS (MD) is 1003805417

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISA A BURGESS (MD)
NPI
1003805417
Phone
(503) 284-8841
Address
3439 NE SANDY BLVD
Enumeration Date
18 October 2005
Last Update Date
4 November 2011

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5036996464
Graduation Year
1992 (34 years ago)
PAC ID
6002984671
Professional Enrollment ID
I20081009000146
Address ID
OR970355281LA16865RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

70 PLASTIC AND RECONSTRUCTIVE SURGERY in OR

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Provider Addresses for DR. ELISA A BURGESS (MD)

  • Northeast Sandy Boulevard, Sumner, Portland, Metro, Multnomah County, Oregon, 97220, United States

    PMB 375

    PORTLAND, OR 972321959

    Phone: (503) 284-8841

    Fax: (503) 282-3302

    Type: Mailing

  • 16865, Boones Ferry Road, Lake Forest, Lake Grove, Jean, Lake Oswego, Clackamas County, Oregon, 97035, United States

    SUITE 101

    LAKE OSWEGO, OR 970355280

    Phone: (503) 699-6464

    Fax: (503) 699-6939

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,526.

Total Amount is formed as General ($1,526) + Research ($0) + Ownership ($0) = $1,526.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($607).

Total Amount

$1,526

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-09

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
I20081009000146IPlastic And Reconstructive SurgeryORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
99202New patient office or other outpatient visit, 15-29 minutes1111$0
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Insurance plans in this area (ZIP 97232)

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Reviews

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Frequently asked questions

What federal number belongs to DR. ELISA A BURGESS (MD)?
The federal identifier for DR. ELISA A BURGESS (MD) is NPI 1003805417.
Is DR. ELISA A BURGESS (MD)'s NPI currently valid?
The extract we use shows DR. ELISA A BURGESS (MD) as active.
What kind of provider is DR. ELISA A BURGESS (MD)?
The page reflects Plastic Surgery Physician for DR. ELISA A BURGESS (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. ELISA A BURGESS (MD)?
We surface Portland, Oregon for DR. ELISA A BURGESS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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