Active NPI 1831170323 Individual Practitioner Male Practitioner

Dr. Walter Woodrow Burns , MD

Surgery • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Walter Burns, MD is a certified Surgery practicing in Durham, NC. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Burns delivers high-quality medical care to the local community at 120 WILLIAM PENN PLZ.

Dr. Burns is affiliated with North Carolina Mg Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 William Penn Plz

Durham, NC 277042150

Telephone 9192205255

Fax 9193131276

Associated Practice Facility / Clinic

🏢 Emergeortho Pa Facility NPI 1376592964

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +8.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

70 Specialists

Practicing in Durham, NC (1222 Statewide)

Telehealth Adoption Rate

15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burns (32 Years) 32 Yrs

Durham Specialty Average (23.8 Years) 23.8 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
11042 Removal of skin and tissue, 20.0 sq cm or less	521	165	$369.00	$55.75
97597 Removal of tissue from wound, 20.0 sq cm or less	282	107	$289.00	$33.15
99213 Established patient office or other outpatient visit, typically 15 minutes	271	135	$185.43	$61.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	117	$285.95	$90.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$425.55	$124.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	29	$419.00	$135.02
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	28	20	$666.00	$138.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$286.08	$76.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$524.88	$169.22
11042 Removal of skin and tissue, 20.0 sq cm or less	14	13	$369.00	$56.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	416	131	$372.70	$55.79
99213 Established patient office or other outpatient visit, typically 15 minutes	200	115	$192.92	$62.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	91	$294.95	$91.72
97597 Removal of tissue from wound, 20.0 sq cm or less	149	84	$289.77	$33.97
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	74	12	$115.57	$23.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$454.24	$126.82
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	30	23	$674.00	$144.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	389	138	$386.69	$57.52
99213 Established patient office or other outpatient visit, typically 15 minutes	236	112	$196.39	$64.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	69	$285.05	$95.52
99183 Management and supervision of oxygen chamber therapy per session	95	14	$496.00	$101.79
97597 Removal of tissue from wound, 20.0 sq cm or less	92	57	$266.01	$35.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$478.42	$131.09
11042 Removal of skin and tissue, 20.0 sq cm or less	29	24	$378.00	$58.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$285.00	$80.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	421	129	$443.03	$58.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	97	$263.52	$97.55
99213 Established patient office or other outpatient visit, typically 15 minutes	164	92	$192.86	$65.65
97597 Removal of tissue from wound, 20.0 sq cm or less	142	68	$179.36	$35.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$429.97	$133.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$282.96	$81.81
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	25	17	$712.16	$151.55
17250 Application of chemical to stop tissue regrowth in wound	22	12	$226.47	$28.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	262	72	$475.38	$59.90
99213 Established patient office or other outpatient visit, typically 15 minutes	143	73	$196.48	$50.31
97597 Removal of tissue from wound, 20.0 sq cm or less	137	65	$147.84	$36.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	49	$259.80	$76.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$407.93	$126.86
97597 Removal of tissue from wound, 20.0 sq cm or less	14	13	$263.86	$36.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	365	110	$481.49	$58.82
99213 Established patient office or other outpatient visit, typically 15 minutes	255	114	$197.96	$49.15
97597 Removal of tissue from wound, 20.0 sq cm or less	234	103	$142.32	$23.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$399.64	$124.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	48	$259.86	$76.13
17250 Application of chemical to stop tissue regrowth in wound	55	17	$185.25	$33.71
11042 Removal of skin and tissue, 20.0 sq cm or less	43	36	$345.17	$59.59
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$166.00	$49.33
97597 Removal of tissue from wound, 20.0 sq cm or less	29	28	$244.86	$22.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$94.04	$24.25
99183 Management and supervision of oxygen chamber therapy per session	24	12	$554.08	$106.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$263.15	$73.29
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	19	12	$744.00	$150.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	470	140	$476.72	$57.15
99213 Established patient office or other outpatient visit, typically 15 minutes	260	116	$195.32	$48.84
97597 Removal of tissue from wound, 20.0 sq cm or less	180	91	$152.70	$23.11
17250 Application of chemical to stop tissue regrowth in wound	78	17	$184.67	$30.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$395.48	$123.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	53	$257.96	$73.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	44	$101.50	$24.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$261.99	$72.67
97597 Removal of tissue from wound, 20.0 sq cm or less	41	26	$217.00	$23.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$93.00	$24.29
11042 Removal of skin and tissue, 20.0 sq cm or less	29	21	$336.00	$59.23
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	28	16	$81.17	$24.88
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$156.00	$49.66
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	14	$736.78	$150.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	648	146	$485.37	$56.67
99213 Established patient office or other outpatient visit, typically 15 minutes	189	102	$196.86	$47.50
97597 Removal of tissue from wound, 20.0 sq cm or less	176	88	$216.48	$32.82
99213 Established patient office or other outpatient visit, typically 15 minutes	152	83	$155.59	$50.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	98	$103.92	$23.82
97597 Removal of tissue from wound, 20.0 sq cm or less	144	76	$142.67	$21.81
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	134	24	$63.25	$22.43
99183 Management and supervision of oxygen chamber therapy per session	101	13	$314.00	$97.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	63	$92.46	$27.94
99183 Management and supervision of oxygen chamber therapy per session	77	12	$574.23	$102.42
11042 Removal of skin and tissue, 20.0 sq cm or less	72	42	$335.25	$69.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$262.55	$71.57
17250 Application of chemical to stop tissue regrowth in wound	53	16	$182.38	$33.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$399.07	$117.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$258.71	$73.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$248.52	$75.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$423.75	$130.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$273.06	$73.12

Medical Specialties & State Licenses

CMS Verified: 2021-11-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 9601258

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

89127KG (NC)

Commercial Insurance / Payer ID Bcbsnc

127KG (NC)

Hospital & Practice Group Affiliations

North Carolina Mg Llc

2916 Blue Ridge Rd, Raleigh, NC 276076424

Phone: 9197847874

Secondary Practice Locations

2916 Blue Ridge Rd

Raleigh, NC 276076424

Phone: 9197847874

Practice Associates & Co-Workers

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

40 Associated Practitioners

Andrew Irons , PA-C

Physician Assistant

NPI 1003067034

Physician Assistant (Certified)

Robin Conradi , PT

Physical Therapist

NPI 1003126202

Physical Therapist

Douglas Holczer , PT

Physical Therapist

NPI 1003892365

Physical Therapist

Kristin Wylie , MSPT

Physical Therapist

NPI 1023083003

Master of Science in Physical Therapy

Nancy Belding , LPT

Occupational Therapist

NPI 1023094562

Lindy Kyger , PA-C

Physician Assistant

NPI 1023564283

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2013

Registered at 120 WILLIAM PENN PLZ, DURHAM, NC 277042150 (Tel: 9192205255)

📍

Updated Business Mailing Address August 26, 2013

Registered at 120 WILLIAM PENN PLZ, DURHAM, NC 277042150 (Tel: 9192205255)

👤

Provider Name / Credentials Updated August 26, 2013

Recorded as WALTER BURNS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2013

Surgery (License #9601258 in NC)

🟢

Initial NPI Registration & Enumeration November 10, 2005

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: 1831170323

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 10, 2005

Last Update: November 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 William Penn Plz

Durham, NC 277042150

Phone: 9192205255

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.