JEFFREY DANIEL BURRY D.O. NPI 1275698367

NPI Information

  • NPI: 1275698367
  • Provider Name: JEFFREY DANIEL BURRY, D.O.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 WARNER DR
    LEWISTON, ID
    ZIP 83501
  • Phone: (208) 746-0193

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NPI Details

Jeffrey Daniel Burry, D.O. is an otolaryngology/facial plastic surgery otolaryngology in Lewiston, ID with 26 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. 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 7/18/2025.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryOP00001929WASHINGTONNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryO-337IDAHOYes

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
155098OTHERBLUECROSS OF IDAHO
28398166MEDICAIDWASHINGTON
3000010147208OTHERREGENCE BLUESHIELD OF ID
4806910700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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