Physician

William Hugh Burns, MD

According to 2025 Medicare claims, William Burns, MD (NPI: 1780661819) practices general surgery in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26505-3494. Burns is affiliated with the Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Burns' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 422 traditional Medicare patients, billed 851 HCPCS/CPT codes, and received $79,694 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 307 prescription claims across 274 beneficiaries totaling $32,706 in drug costs, led by Clenpiq (Sod Picosulf/Mag Ox/Citric Ac). 2023 DME data shows 12 claims. Open Payments data shows 2 records totaling $139. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $154,310 to $79,694. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $31,837 and ending at $32,706. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $10,709 to $785.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	735	1,629	$154,310
2016	730	1,728	$162,003
2017	658	1,564	$137,859
2018	596	1,433	$141,918
2019	548	1,272	$132,393
2020	465	1,002	$111,503
2021	493	1,047	$104,626
2022	459	969	$101,219
2023	439	906	$85,243
2024	422	851	$79,694

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	287	553	$31,837
2016	307	660	$36,871
2017	260	581	$37,837
2018	237	534	$28,219
2019	236	466	$28,335
2020	227	378	$22,233
2021	241	359	$31,427
2022	256	311	$24,276
2023	232	273	$23,547
2024	274	307	$32,706

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	12	$557
2018	N/R	12	$541
2019	N/R	24	$1,678
2020	N/R	25	$1,783
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	12	$645
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$194
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	47	$63
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$50
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	142	152	$42
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	75	77	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Clenpiq	Sod Picosulf/Mag Ox/Citric Ac	82	163	$13,821
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	84	132	$5,946
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	19	26	$3,084
Omeprazole	Omeprazole	17	1,207	$290
Oxycodone Hcl	Oxycodone Hcl	59	157	$70

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$139	Stryker Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for William Hugh Burns, MD?

Tedicare shows public-source Medicare data for William Hugh Burns, MD (NPI 1780661819), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does William Hugh Burns, MD have ACO affiliation data?

William Hugh Burns, MD is shown with ACO affiliation data for Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to William Hugh Burns, MD?

William Hugh Burns, MD is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does William Hugh Burns, MD have Open Payments data?

William Hugh Burns, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.