EMILY BURNS
NPI 1134191851
Specialist in Pittsburgh, PA
Quality Rating: 82.15 out of 100 score
NPI Status: Active since February 06, 2006
Contact Information
120 LYTTON AVE
UNIVERSITY CENTER, SUITE 100A
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-4545
- Individual
- Female
- Years of Experience 41
- Specialist
- Accepts Medicare Approved Payment
- PECOS Enrolled
About EMILY BURNS
This page provides the complete NPI Profile along with additional information for Emily Burns, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Specialist and more than 41 years of experience. She graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1985. The healthcare provider is registered in the NPI registry with number 1134191851 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number MD050323L (PA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1134191851
- Provider Name
- EMILY BURNS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 120 LYTTON AVE UNIVERSITY CENTER, SUITE 100A PITTSBURGH, PA 15213
- Location Phone
- (412) 647-4545
- Mailing Address
- 120 LYTTON AVE UNIVERSITY CENTER, SUITE 100A PITTSBURGH, PA 15213
- Medical School Name
- CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
- Graduation Year
- 1985
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-06-2006
- Last Update Date
- 03-25-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD050323L
- License State
- PA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Medicare Participation & PECOS Enrollment Status
Emily Burns is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Emily Burns is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335104652
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041129000753
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
4 DME suppliers used 12 Medicare Claims 48 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
1 DME suppliers used 24 Medicare Claims 24 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Influenza vaccine, quadrivalent derived from recombinant dna
Initial hospital inpatient care per day, typically 50 minutes
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 18 times for 18 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 96 times for 96 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 173 times for 111 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 134 times for 64 patientsThe quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.
This service was performed 23 times for 23 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 76 times for 75 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 12 times for 12 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 13 times for 13 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.15, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 82.15 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 67.55
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Emily Burns is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UPMC MERCY | 1400 LOCUST STREET PITTSBURGH, PA 15219 | (412) 232-8111 | Acute Care Hospitals | |
UPMC PASSAVANT | 9100 BABCOCK BOULEVARD PITTSBURGH, PA 15237 | (412) 367-6700 | Acute Care Hospitals | |
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM | 300 HALKET STREET PITTSBURGH, PA 15213 | (412) 641-4010 | Acute Care Hospitals | |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP STREET PITTSBURGH, PA 15213 | (412) 647-8788 | Acute Care Hospitals | |
UPMC EAST | 2775 MOSSIDE BOULEVARD MONROEVILLE, PA 15146 | (412) 357-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 3 | 4 | 1 | 9 | 1 | 8 | 5 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 6 | 4 | 2 | 9 | 2 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 6 + 4 + 2 + 9 + 2 + 8 + 1 + 0 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1134191851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1548250947 | DR. GARY LOUIS LEMONCELLI MD Individual | Internal Medicine | 120 LYTTON AVE SUITE MO59 PITTSBURGH, PA 15213 (412) 623-8905 |
1770555161 | DR. THOMAS J ANTOS MD Individual | Specialist | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-6333 |
1841264264 | DR. JOHN G KOKALES MD Individual | Specialist | 120 LYTTON AVE SUITE 100A PITTSBURGH, PA 15213 (412) 647-4545 |
1568436863 | DR. ROBERT G KANIECKI MD Individual | Specialist | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-9494 |
1477528487 | DR. ANTHONY SPINOLA MD Individual | Specialist | 120 LYTTON AVE SUITE 100A PITTSBURGH, PA 15213 (412) 647-4567 |
1144295106 | DR. MICHAEL J SOSO MD,PHD Individual | Specialist | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-9494 |
1528033321 | DR. ELLEN S BERNE MD Individual | Internal Medicine | 120 LYTTON AVE SUITE M059 PITTSBURGH, PA 15213 (412) 623-8905 |
1487620480 | DR. ANDREW H JOSEPH MD Individual | Specialist | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-6333 |
1629092432 | MS. LINDA ANN SNYDER CRNP Individual | Nurse Practitioner (Adult Health) | 120 LYTTON AVE UPMC CARDIOVASCULAR INSTITUTE @ UNIV. CENTER PITTSBURGH, PA 15213 (412) 802-3000 |
1255467387 | UPMC COMMUNITY MEDICINE INC Organization | Internal Medicine | 120 LYTTON AVE 3RD FLOOR PITTSBURGH, PA 15213 (412) 647-6333 |
1306972732 | UPMC COMMUNITY MEDICINE Organization | Internal Medicine | 120 LYTTON AVE SUITE 100A PITTSBURGH, PA 15213 (412) 647-4545 |
1598894768 | UNIVERSITY OF PITTSBURGH PHYSICIANS Organization | Internal Medicine | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-6333 |
1316076581 | UNIVERSITY OF PITTSBURGH PHYSICIANS Organization | Internal Medicine | 120 LYTTON AVE SUITE 100A PITTSBURGH, PA 15213 (412) 647-4545 |
1376662932 | MARISA RASILE P.T. Individual | Physical Therapist | 120 LYTTON AVE SUITE 275 PITTSBURGH, PA 15213 (412) 621-5430 |
1174786420 | DR. MICHAEL BERGAL M.D., Individual | Family Medicine | 120 LYTTON AVE SUITE M059 PITTSBURGH, PA 15213 (412) 623-8905 |
1154561157 | SHARLENE EMERSON CRNP, BC-ADM Individual | Nurse Practitioner (Family) | 120 LYTTON AVE SUITE 100 A-UNIVERSITY CENTER PITTSBURGH, PA 15213 (412) 647-4545 |
1316278401 | PAN ZHANG D.P.T Individual | Clinic/Center (Physical Therapy) | 120 LYTTON AVE SUITE 275 PITTSBURGH, PA 15213 (412) 621-5430 |
1336443423 | UPMC COMMUNITY MEDICINE INC Organization | Internal Medicine | 120 LYTTON AVE SUITE M059 PITTSBURGH, PA 15213 (412) 623-8905 |
1861533267 | UPMC COMMUNITY MEDICINE INC Organization | Non-Pharmacy Dispensing Site | 120 LYTTON AVE SUITE 300 PITTSBURGH, PA 15213 (412) 647-6333 |
1053641282 | HEALTH CENTER ASSOCIATES UPMC Organization | Non-Pharmacy Dispensing Site | 120 LYTTON AVE SUITE M059 PITTSBURGH, PA 15213 (412) 623-8905 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134191851, enumerated in the NPI registry as an "individual" on February 06, 2006
The provider is located at 120 Lytton Ave University Center, Suite 100a Pittsburgh, Pa 15213 and the phone number is (412) 647-4545
The provider's speciality is Specialist with taxonomy code 174400000X
The provider has more than 41 years of experience. She graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1985.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Influenza vaccine, quadrivalent derived from recombinant dna, Initial hospital inpatient care per day, typically 50 minutes, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
The practitioner is affiliated to the following hospital(s): UPMC MERCY, UPMC PASSAVANT, MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM, UPMC PRESBYTERIAN SHADYSIDE and UPMC EAST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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