JASON SHADE BURGESS MD NPI 1043201361

NPI Information

  • NPI: 1043201361
  • Provider Name: JASON SHADE BURGESS, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 VAIL AVENUE
    STE 320
    CHARLOTTE, NC
    ZIP 28207
  • Phone: (704) 333-0741

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NPI Details

Jason Shade Burgess, MD is a vascular surgery surgery in Charlotte, NC with 29 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jason Shade Burgess, MD NPI is 1043201361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

2001 VAIL AVENUE
STE 320
CHARLOTTE, NC
ZIP 28207-107
Phone: (704) 333-0741
Fax: (704) 333-3356

The NPI 1043201361 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access (HCPCS:93985)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasound of one arm arteries or artery grafts (HCPCS:93931)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Tying or banding of surgically created artery-vein connection (HCPCS:37607)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Release of arm or leg nerve (HCPCS:64708)
  • Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
  • Insertion of abdominal cavity tube using an endoscope (HCPCS:49324)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of abdominal cavity tube (HCPCS:49422)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 9/7/2023.

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
1208600000XSurgery200200093NORTH CAROLINANo
22086S0129XSurgeryVascular Surgery200200093NORTH CAROLINAYes

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
12000396DOTHERMEDICARE PIN FACULTY
2891305AMEDICAIDNORTH CAROLINA
32000396OTHERMEDICARE

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: 3/30/2025

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