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Active NPI 1225004401 Individual Practitioner Male Practitioner

Dr. Stephen Spencer Burnside , MD

Internal Medicine • Kodiak, AK

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Burnside, MD is a certified Internal Medicine practicing in Kodiak, AK. With approximately 37 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1989, Dr. Burnside delivers high-quality medical care to the local community at 1818 E REZANOF DR.

Dr. Burnside maintains professional affiliations with Providence Health And Services Washington, Kodiak Island Health Care Foundation and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, insertion of needle into vein for collection of blood sample, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 E Rezanof Dr

Kodiak, AK 99615

Telephone 9074866065
Fax 9074862248
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1989

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kodiak, AK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs Matches City Avg
City Avg: 37.0 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Kodiak, AK (188 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burnside (37 Years) 37 Yrs
Kodiak Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
58 38 $30.00 $9.52
36415 Insertion of needle into vein for collection of blood sample
33 28 $7.50 $7.35
93000 Routine ekg using at least 12 leads including interpretation and report
16 14 $45.38 $16.39

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AK AA2876

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
GR0173 (AK)
Medicaid State Provider ID
MD 03803 (AK)
Commercial Insurance / Payer ID Employee Id
920088665 (AK)

Hospital & Practice Group Affiliations

Kodiak Island Health Care Foundation

1911 E Rezanof Dr, Kodiak, AK 996156602

Phone: 9074815000

Providence Health And Services Washington

1915 E Rezanof Dr, Kodiak, AK 996156602

Phone: 9074863281

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rae Jean Blaschka , NP

Nurse Practitioner

NPI 1093788994

Nurse Practitioner

Dr. Carol Juergens , MD

Internal Medicine

NPI 1174591325

Doctor of Medicine (M.D.)

Dr. Shawn Vainio , MD

Family Medicine

NPI 1205930914

Doctor of Medicine (M.D.)

Dr. Mark Withrow , MD

General Practice

NPI 1417920497

Doctor of Medicine (M.D.)

Greg Mete , PA-C

Physician Assistant

NPI 1538132519

Physician Assistant (Certified)

Dr. Jeremy Larson , MD

Family Medicine

NPI 1548366891

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2013

Registered at 1818 E REZANOF DR, KODIAK, AK 99615 (Tel: 9074866065)

📍
Updated Business Mailing Address April 15, 2013

Registered at 1818 E REZANOF DR, KODIAK, AK 99615 (Tel: 9074866065)

👤
Provider Name / Credentials Updated April 15, 2013

Recorded as STEPHEN BURNSIDE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2013

Internal Medicine (License #AA2876 in AK)

🟢
Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225004401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2006
Last Update: April 15, 2013
Sole Proprietor: No

Mailing Address

1818 E Rezanof Dr

Kodiak, AK 99615

Phone: 9074866065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.