JOHN D BURGOYNE (MD) – Otolaryngology Physician, NPI 1467410613

JOHN D BURGOYNE (MD) is a healthcare provider. based in Austin, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD00034623 (WA). The NPI Number for JOHN D BURGOYNE (MD) is 1467410613

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D BURGOYNE (MD)
NPI
1467410613
Phone
(512) 277-7500
Address
12201 RENFERT WAY
Enumeration Date
3 May 2006
Last Update Date
15 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5122777500
Graduation Year
1986 (40 years ago)
PAC ID
0446147136
Group Practice PAC ID
4385709054
Professional Enrollment ID
I20230525002398
Address ID
TX787585368AU12201WAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

Provider Addresses for JOHN D BURGOYNE (MD)

  • 12201 RENFERT WAY

    AUSTIN, TX 787585354

    Phone: (512) 277-7500

    Fax: (972) 984-1376

    Type: Location

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Type: Mailing

  • 515, Minor Avenue, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 140

    SEATTLE, WA 98104

    Phone: (206) 838-8345

    Fax: (206) 838-8346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($127).

Total Amount

$300

General + Research + Ownership

Payments

12

Total payment records

General Amount

$300

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

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: 2023-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070219000281IOtolaryngologyWATBD
I20230525002398IOtolaryngologyTXTBD

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 78758)

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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: 4385709054View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Nurse PractitionerTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YTX

Reviews

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Frequently asked questions

How do payers reference JOHN D BURGOYNE (MD)?
For JOHN D BURGOYNE (MD), use NPI 1467410613 as the unique 10-digit identifier.
Is JOHN D BURGOYNE (MD) shown as active in public data?
Registry records indicate JOHN D BURGOYNE (MD) maintains an active NPI.
What expertise is attributed to JOHN D BURGOYNE (MD)?
JOHN D BURGOYNE (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is JOHN D BURGOYNE (MD) associated with Austin?
Public fields place JOHN D BURGOYNE (MD) around Austin, Texas. Always confirm the exact site before visiting.
Does JOHN D BURGOYNE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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