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SHELLEY ANNETTEQ BURKE M.D.
NPI 1013915321
Internal Medicine in Lorain, OH

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
LORAIN COMMUNITY HOSPITAL, 3700 KOLBE ROAD, LORAIN, OH 44053(440) 960-4000 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelley Annetteq Burke M.d. NPPES

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

SHELLEY ANNETTEQ BURKE M.D. (NPI 1013915321) is an individual internal medicine provider in Lorain, Ohio, licensed in Ohio (35079927) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1013915321
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHELLEY ANNETTEQ BURKECredential: M.D.
Location AddressLORAIN COMMUNITY HOSPITAL, 3700 KOLBE ROADLorain, OH 44053
Mailing AddressCommunity Hospitalists, Llc, Po Box 39413Cleveland, OH 44139 · (440) 523-5023 · Fax (440) 523-5029
Phone(440) 960-4000
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1013915321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35079927
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.079927 (OH)
LORAIN COMMUNITY HOSPITAL, Lorain, OH 44053
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Other Identifiers 1

Medicaid2301137OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelley Annetteq Burke 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 ID42485799
PECOS Enrollment IDI20111208000590
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shelley Burke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospitalist, LLC
5.1 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000
Southwest General Medical Group Inc.
17 mi
Family Medicine
7225 OLD OAK BLVD STE A210
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1235503384 (440) 816-2750
Hni Medical Services Of Ohio, LLC
17 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
North East Ohio Group Practice LLC
17 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
202 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
131 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
116 services113 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
110 services97 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services62 patients

Hospital Affiliations CMS Care Compare 2

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$53.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers68 claims68 services$61.70 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers66 claims66 services$28.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$15.11 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$7.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shelley Burke's NPI number?

The NPI number for Shelley Burke is 1013915321. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Shelley Burke located?

Shelley Burke practices at Lorain Community Hospital 3700 Kolbe Road, Lorain, OH 44053. The listed phone number is (440) 960-4000.

What is Shelley Burke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shelley Burke enrolled in Medicare?

Yes. Shelley Burke 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.

Which organizations bill Medicare for Shelley Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Burke reassigns Medicare benefits to 4 organizations: Community Hospitalist, LLC (Lorain, OH), Southwest General Medical Group Inc. (Middleburg Heights, OH), Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH) and North East Ohio Group Practice LLC (Middleburg Heights, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelley Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Burke accept?

Health plans from CareSource and Paramount list Shelley Burke 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 Shelley Burke affiliated with any hospitals?

According to CMS data, Shelley Burke is affiliated with Southwest General Health Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Shelley Burke was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.