RICHARD BURGESS
NPI 1003288754
Physician Assistant in Fort Myers, FL
About Richard Burgess NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD BURGESS (NPI 1003288754) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9109174) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Burgess is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Waterman
Acute Care Hospitals · Tavares, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33966 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard Burgess's NPI number?
The NPI number for Richard Burgess is 1003288754. It was assigned to this individual provider in the NPPES registry on October 21, 2015.
Where is Richard Burgess located?
Richard Burgess practices at 3840 Colonial Blvd Ste 1, Fort Myers, FL 33966. The listed phone number is (855) 778-6262.
What is Richard Burgess's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Richard Burgess enrolled in Medicare?
Yes. Richard Burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Richard Burgess affiliated with any hospitals?
According to CMS data, Richard Burgess is affiliated with Adventhealth Waterman.
When was this NPI record last updated?
The NPPES record for Richard Burgess was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Richard Burgess · NPI 1003288754
Physician Assistant physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since October 21, 2015.
## Identity
- **NPI:** 1003288754 (Entity type: Individual)
- **Enumerated:** October 21, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9109174 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3840 COLONIAL BLVD STE 1, Fort Myers, FL 33966-1126
- **Phone:** (855) 778-6262 · **Fax:** (855) 778-3262
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003288754) · Data from the CMS NPPES public registry.