Dr. Nicholas Burnham, DO
1101 26th St S, Great Falls, MT 59405 • +1-648-555-8807
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Great Falls Percentiles
NPI #1962795559 • CBSA Regional • Emergency Medicine
Dr. Nicholas Burnham, DO (NPI #1962795559) practices Emergency Medicine in Great Falls, MT (59405) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 764 annual CMS services across 385 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25th Great Falls percentile) (-0.20σ vs MT state mean, 50th statewide percentile).
Fee-schedule auditing of NPI 1962795559 highlights 344 annual claims for 99214 (25th Great Falls percentile; $131–$180 self-pay corridor) plus 199 encounters under 99213 and 99 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Nicholas Burnham in Great Falls (59405) face an estimated $209.00 initial evaluation fee at 1101 26th St S (hybrid in-clinic and telehealth video consults; 22-minute average reception wait; bedside manner 4.70/5 from 8 verified reports).
Clinical background for Dr. Burnham (DO, NPI #1962795559) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across MT.
Compared against Great Falls, MT Emergency Medicine peers
764 annual services across 385 beneficiaries
Standard deviations from MT Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 344 | 25th | $131 – $180 |
| 99213 | Established Preventive & Chronic Care Visit | 199 | 25th | $101 – $138 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 99 | 30th | $48 – $66 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 76 | 23th | $154 – $211 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 46 | 25th | $183 – $250 |
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Dr. Nicholas Burnham, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Burnham National Provider Identifier | NPI #1962795559 (DO) | CMS NPPES Registry (59405) |
| Dr. Burnham Great Falls CMS Volume Rank | 25.00th Pct (764 CMS svcs; Z -0.199σ) | CMS Medicare Part B (MT Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Great Falls, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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