SUSAN L BURTON CRNP
NPI 1235281585
Nurse Practitioner - Family in Frederick, MD
NPI Status: Active since January 17, 2007
Contact Information
56 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702
Phone: (301) 694-3111
Fax: (301) 694-8626
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Medicare Quality Reporting
About SUSAN BURTON
This page provides the complete NPI Profile along with additional information for Susan Burton, a provider established in Frederick, Maryland with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1235281585 assigned on January 2007. The practitioner's primary taxonomy code is 363LF0000X with license number R098423 (MD). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1235281585
- Provider Name
- SUSAN L BURTON CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 56 THOMAS JOHNSON DR FREDERICK, MD 21702
- Location Phone
- (301) 694-3111
- Location Fax
- (301) 694-8626
- Mailing Address
- 610 SOLAREX COURT FREDERICK, MD 21703
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2007
- Last Update Date
- 08-02-2016
- Code Navigator
A nurse practitioner (NP) like Susan Burton is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R098423
- License State
- MD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD8143 | MEDICARE PIN (08) | MD | |
| 926580503 | MEDICAID (05) | MD | |
| 451L | MEDICARE PIN (08) | MD | |
| 239004ZCSV | MEDICARE PIN (08) | MD | |
| 926580505 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
Susan Burton 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
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
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
Administration of pneumococcal vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Automated urinalysis test
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fee covid-19 vac 14 res
Influenza vaccine split virus, preservative free
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 52 times for 52 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 13 times for 13 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 99 times for 99 patientsAn automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 18 times for 17 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 184 times for 150 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 176 times for 133 patientsThe "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
This service was performed 19 times for 19 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 47 times for 47 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 15 times for 14 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21702 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.11
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $25.52
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 94% | 8169 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 50% | 690 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Medication Reconciliation | 96% | 24 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 71% | 698 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 85% | 432 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 68% | 432 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Reviews for SUSAN L BURTON CRNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 2 | 3 | 5 | 2 | 8 | 1 | 5 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 4 | 8 | 2 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 4 + 8 + 2 + 5 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1235281585 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1780686337 | DR. JAMES STEPHEN ALBERTOLI MD Individual | Surgery (Plastic and Reconstructive Surgery) | 56 THOMAS JOHNSON DR SUITE 100 FREDERICK, MD 21702 (301) 698-9999 |
| 1083760086 | JAMES S ALBERTOLI MD FACS LLC Organization | Plastic Surgery | 56 THOMAS JOHNSON DR SUITE 100 FREDERICK, MD 21702 (301) 698-9999 |
| 1841325214 | AMBULATORY CENTER FOR AESTHETIC AND RECONSTRUCTIVE SURGERY Organization | Clinic/Center (Ambulatory Surgical) | 56 THOMAS JOHNSON DR SUITE 100 FREDERICK, MD 21702 (301) 698-9999 |
| 1629152582 | DAVID W KOSSOFF M.D. Individual | Specialist | 56 THOMAS JOHNSON DR SUITE 110 FREDERICK, MD 21702 (301) 624-5566 |
| 1447241997 | REBECCA A HERMAN-SMITH D.O. Individual | Family Medicine | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1508840026 | JOSEPH ASHWAL M.D. Individual | Family Medicine | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1639153117 | EDWARD F FISHER M.D. Individual | Family Medicine | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1467436550 | AMY J JONES M.D. Individual | Family Medicine | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1528110137 | CONSTANCE WANTLING CRNP Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1578615829 | DEBORAH M AUSTILL PA Individual | Physician Assistant (Medical) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1457405615 | ELIZABETH T WILSON PA-C Individual | Physician Assistant (Medical) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1255620175 | TYREE MORRISON CRNP Individual | Nurse Practitioner (Adult Health) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1235682600 | MEGAN STITELY-BRENNEMAN C.R.N.P. Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1740653294 | SAMANTHA D KOONTZ PA-C Individual | Physician Assistant | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1972904845 | LINDSAY BITTO Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR SUITE 110 FREDERICK, MD 21702 (301) 624-5566 |
| 1033860572 | MEAGAN STEELE CRNP Individual | Nurse Practitioner | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1285306910 | ALEXANDRA KATHLEEN FISHER NP Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1538422308 | DR. JOHN JOSEPH DIGIOVANNI JR. D.O. Individual | Family Medicine | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1447778634 | MS. JESSICA PINA PIRES CASTELLE FNP-C Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
| 1104689447 | MRS. JAYME MICAELA DRIVER PHELPS APRN Individual | Nurse Practitioner (Family) | 56 THOMAS JOHNSON DR FREDERICK, MD 21702 (301) 694-3111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235281585, enumerated in the NPI registry as an "individual" on January 17, 2007
The provider is located at 56 Thomas Johnson Dr Frederick, Md 21702 and the phone number is (301) 694-3111
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Automated urinalysis test, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fee covid-19 vac 14 res, Influenza vaccine split virus, preservative free and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
This NPI record was last updated on January 17, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.