NPI Details
Jeffrey Daniel Burry, D.O. is an otolaryngology in Lewiston, ID with 25 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Jeffrey Daniel Burry, D.O. NPI is 1275698367. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2000
The provider's business location address is:
330 WARNER DR
LEWISTON, ID
ZIP 83501-441
Phone: (208) 746-0193
Fax: (208) 746-7074
The NPI 1275698367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Removal of impacted ear wax (HCPCS:69210)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
- Exam of ear using a microscope (HCPCS:92504)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
- Simple control of nose bleed (HCPCS:30901)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm (HCPCS:11644)
- Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm (HCPCS:11646)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11623)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 12/27/2006 and was last updated on 4/16/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | OP00001929 | WASHINGTON | No |
| 2 | 207Y00000X | Otolaryngology | | O-337 | IDAHO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 8398166 | MEDICAID | WASHINGTON | |
| 2 | 000010147208 | OTHER | | REGENCE BLUESHIELD OF ID |
| 3 | 55098 | OTHER | | BLUECROSS OF IDAHO |
| 4 | 806910700 | MEDICAID | IDAHO | |
