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DR. EUGENE JAMES BURCHELL JR. M.D.
NPI 1013914381
Obstetrics & Gynecology in Covington, KY

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT., COVINGTON, KY 41011(859) 655-1100(859) 655-1102 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2018, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Eugene James Burchell Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EUGENE JAMES BURCHELL JR. M.D. (NPI 1013914381) is an individual obstetrics & gynecology provider in Covington, Kentucky, licensed in Kentucky (19084) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Louisville School Of Medicine (1976).

NPPES Registry Identity

NPI1013914381
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EUGENE JAMES BURCHELL JR.Credential: M.D.
Location Address1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT.Covington, KY 41011-0801
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 655-1100 · Fax (859) 655-1102
Phone(859) 655-1100
Fax(859) 655-1102
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1976
Enumeration DateJuly 1, 2005
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1013914381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 19084
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1500 JAMES SIMPSON JR WAY, Covington, KY 41011
Open in Google Maps ↗

Other Identifiers 1

Medicaid64190846KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dr. Eugene James Burchell Jr. M.d. 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.

PECOS PAC ID1557358504
PECOS Enrollment IDI20100306000264
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
87 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETRA BRADSHAW RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
WAEL E EID MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Kenton County (859) 655-8910
MR. ERIC R WOOD PA-C
Physician Assistant
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-1100
MRS. BRIANA L. VITUCCI RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
RAE ELIZAGARAY RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
DR. NED MEHLMAN M.D.
Internal Medicine (Cardiovascular Disease)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-9500
IRINA KORABLEVA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
SHELBY MAUREEN KLINGENSMITH APRN-CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 301-5901

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 Eugene Burchell's NPI number?

The NPI number for Eugene Burchell is 1013914381. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Eugene Burchell located?

Eugene Burchell practices at 1500 James Simpson Jr Way Would Care Dept., Covington, KY 41011. The listed phone number is (859) 655-1100.

What is Eugene Burchell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Eugene Burchell enrolled in Medicare?

Yes. Eugene Burchell 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.

What insurance does Eugene Burchell accept?

Health plans from CareSource list Eugene Burchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eugene Burchell affiliated with any hospitals?

According to CMS data, Eugene Burchell is affiliated with St Elizabeth Ft Thomas and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Eugene Burchell was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.