JENNIFER ELDER BURGART MD
NPI 1003010463
Family Medicine in Asheboro, NC

NPI Status: Active since June 12, 2007

Contact Information

550 WHITE OAK ST
ASHEBORO, NC
ZIP 27203
Phone: (336) 625-1360

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  • Individual
  • Female
  • Years of Experience 22
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JENNIFER BURGART

Jennifer Burgart is a primary care provider established in Asheboro, North Carolina and her medical specialization is Family Medicine with more than 22 years of experience. She graduated from Eastern Virginia Medical School in 2002. The healthcare provider is registered in the NPI registry with number 1003010463 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 2012-02044 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1003010463
Provider Name
JENNIFER ELDER BURGART MD
Gender
Female
Entity Type
Individual
Location Address
550 WHITE OAK ST ASHEBORO, NC 27203
Location Phone
(336) 625-1360
Mailing Address
550 WHITE OAK ST ASHEBORO, NC 27203
Mailing Phone
(336) 625-1360
Mailing Fax
Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-12-2007
Last Update Date
11-14-2018
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A primary care provider (PCP) like Jennifer Burgart sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jennifer Burgart is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.8 for a new patient copayment and $25.2 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
2012-02044
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

52437 (TN)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Aetna
  • Anthem Blue Cross
  • Blue Cross Blue Shield
  • Cigna
  • Medicaid
  • Medicare
  • Tricare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PAROTHER (01)VAAETNA
PAROTHER (01)VAMULTIPLAN
PAROTHER (01)VACORVEL/CORCARE
07868OTHER (01)NCBC/BS
5907686MEDICAID (05)NC 
Q000626MEDICAID (05)TN 
-002 -003OTHER (01)VATRICARE/CHAMPUS
10022001OTHER (01)VASENTARA/OPTIMA
302884OTHER (01)VAANTHEM PFM
302882OTHER (01)VAANTHEM
PAROTHER (01)VACIGNA
PAROTHER (01)VAUSA MANAGED CARE
PAROTHER (01)VAFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
1003010463MEDICAID (05)VA 
2180421OTHER (01)VAUHC/MAMSI
6039935OTHER (01)TNBCBS TENNESSEE
PAROTHER (01)VAVIRGINIA PREMIER HEALTH
PAROTHER (01)VAVA HEALTH NETWORK

PECOS Enrollment and Medicare Participation Status

Jennifer Burgart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204928815

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130320000432

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27203 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.51
  • Maximum New Patient Price $172.65
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.12
  • Maximum New Patient Copayment $43.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.83
  • Minimum Established Patient Price $17.43
  • Maximum Established Patient Price $140.98
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $35.24

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 168

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 99

    Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

  • 89

    Blood test, comprehensive group of blood chemicals (HCPCS:80053)

  • 65

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

  • 60

    Hemoglobin a1c level (HCPCS:83036)

  • 48

    Urinalysis, manual test (HCPCS:81002)

  • 47

    Administration of influenza virus vaccine (HCPCS:G0008)

  • 31

    Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

  • 23

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

  • 18

    Bone density measurement using dedicated x-ray machine (HCPCS:77080)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Burgart is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RANDOLPH HOSPITAL364 WHITE OAK STREET
ASHEBORO, NC 27204
(336) 625-5151Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010463
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003010412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 4 + 1 + 2 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003010463 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093790107DR. JOHN D CAMERON M.D.
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1093762577WHITE OAK FAMILY PHYSICIANS, P.A.
Organization
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1528084860 JAMES B. KINLAW MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1205857182 JABER A. KHAN MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1831113778 ROBERT B SCOTT MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1043471329 LYNLEY S HOLT MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1215375324DR. CHRISTOPHER MICHAEL STREET MD
Individual
Family Medicine550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1659766541MR. RAYMOND RILEY PA-C
Individual
Physician Assistant550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1154300713MR. EDWARD SAGUIER P.A.
Individual
Physician Assistant (Medical)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1548559628DR. BRIAN WESLEY BURKHART MD, MPH
Individual
Preventive Medicine (Aerospace Medicine)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1619497682 SARAH TROUTMAN ROUTH NP
Individual
Nurse Practitioner (Family)550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1659757540 COURTNEY KIVETT CAUDILL PHARMD
Individual
Pharmacist550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 625-1360
1447037668 AMY HARRELSON DICKINSON PA-C
Individual
Physician Assistant550 WHITE OAK ST
ASHEBORO, NC 27203
(336) 953-5893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003010463, enumerated in the NPI registry as an "individual" on June 12, 2007

The provider is located at 550 White Oak St Asheboro, Nc 27203 and the phone number is (336) 625-1360

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 22 years of experience. She graduated from Eastern Virginia Medical School in 2002.

The provider might be accepting Aetna, Anthem Blue Cross, Blue Cross Blue Shield, Cigna, Medicaid, Medicare and Tricare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $100.83 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Blood test, comprehensive group of blood chemicals, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Hemoglobin a1c level, Urinalysis, manual test, Administration of influenza virus vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Routine ekg using at least 12 leads including interpretation and report and Bone density measurement using dedicated x-ray machine.

The practitioner is affiliated to the following hospital(s): RANDOLPH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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