DR. TERRILL BURNWORTH (DO) – Emergency Medicine Physician, NPI 1578561676
Emergency Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. TERRILL BURNWORTH (DO)
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 430551822
Phone: (740) 348-4151
Fax: (740) 348-7153
Type: Mailing
1320 W Main St
Newark, OH 430551822
Phone: (220) 564-7153
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,262.
Total Amount is formed as General ($2,262) + Research ($0) + Ownership ($0) = $2,262.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($1,717).
Total Amount
$2,262
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,717 |
| Allergan, Inc. | $346 |
| Galderma Laboratories, L.P. | $199 |
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: 2009-10-16
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 |
|---|---|---|---|---|
| I20091016000003 | 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 | 135 | 133 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 126 | 123 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 73 | 69 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 59 | 59 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 31 | 31 | $0 |
Insurance plans in this area (ZIP 43055)
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