KELLY DOUGLAS BURCHETT DO NPI 1629161864

NPI Information

  • NPI: 1629161864
  • Provider Name: KELLY DOUGLAS BURCHETT, DO
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1605 SOUTH BALTOMORE
    SUITE B
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 665-3599

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NPI Details

Kelly Douglas Burchett, DO is an otolaryngology/facial plastic surgery otolaryngology in Kirksville, MO with 27 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Kelly Douglas Burchett, DO NPI is 1629161864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1999

The provider's business location address is:

1605 SOUTH BALTOMORE
SUITE B
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 665-3599
Fax: (660) 665-3570

The NPI 1629161864 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.

  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (HCPCS:99214)
  • Exam of ear using a microscope (HCPCS:92504)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (HCPCS:99203)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more (HCPCS:99212)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Simple control of nose bleed (HCPCS:30901)
  • Melanoma (skin cancer) excision (HCPCS:)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/9/2020.

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 Surgery2001010344MISSOURIYes

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
1207392200MEDICAIDMISSOURI

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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