OTIS BENJAMIN BURNETT, MD — NPI 1962662577 (Board-Certified Anesthesiologist & Interventional Pain Specialist in WILLIAMSTON, NC)

CMS-1500 Box 24J / 33a • NPI

1962662577

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207L00000X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

310 SOUTH MCKASKEY RD, WILLIAMSTON, NC, 27892

Official NPPES Practice Location

Practice Phone & Referral Fax

(638) 458-6345

Fax: (252) 809-6363

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962662577 (OTIS BENJAMIN BURNETT, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962662577` (NPI-1 Individual Practitioner)
Provider / Legal Name	OTIS BENJAMIN BURNETT, MD
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207L00000X` (Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	310 SOUTH MCKASKEY RD, WILLIAMSTON, NC, 27892
Practice Telephone / Fax	Tel: (638) 458-6345 \| Fax: (252) 809-6363
Administrative Mailing Address	401 E LIBERTY ST, WILLIAMSTON, NC, 27892-1834
Enumeration & Last Sync	Enumerated: 2008-06-17 \| CMS Record Updated: 2013-08-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

310 SOUTH MCKASKEY RD, WILLIAMSTON, NC, 27892

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Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (OTIS BENJAMIN BURNETT, MD)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: NC \| License: `2013-00643` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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OTIS BENJAMIN BURNETT, MD (NPI #1962662577)