SIMON SHANE BURKE DPM
NPI 1023701174
Podiatrist in Lees Summit, MO

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
224 NE TUDOR RD, LEES SUMMIT, MO 64086(816) 525-4778 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2026, Jun 2, 2023 (2 updates tracked since 2023).

About Simon Shane Burke Dpm NPPES

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

SIMON SHANE BURKE DPM (NPI 1023701174) is an individual podiatrist in Lees Summit, Missouri, licensed in Missouri (2026031000) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023701174
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSIMON SHANE BURKECredential: DPM
Location Address224 NE TUDOR RDLees Summit, MO 64086-5696
Mailing Address1104 Whispering Willow WayBlue Springs, MO 64064-7989 · (515) 473-2742
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 2, 2023
Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1023701174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MO · 2026031000
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
224 NE TUDOR RD, Lees Summit, MO 64086

Accepted 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

Simon Shane Burke Dpm 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 ID7810453727
PECOS Enrollment IDI20260730005843
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 Reassignment

Medicare enrollment records show Simon Burke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
224 NE TUDOR RD
Lees Summit, MO 64086
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Foot Doctors Of Kansas City PC
  • 5 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

Other Providers at the Same Location NPPES 6

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

Podiatrist (Foot Surgery)
224 NE TUDOR RD
LEES SUMMIT, MO 64086
Podiatrist (Foot Surgery)
224 NE TUDOR RD
LEES SUMMIT, MO 64086
Podiatrist (Foot & Ankle Surgery)
224 NE TUDOR RD
LEES SUMMIT, MO 64086
Podiatrist (Foot Surgery)
224 NE TUDOR RD
LEES SUMMIT, MO 64086
Podiatrist
224 NE TUDOR RD
LEES SUMMIT, MO 64086
Podiatrist
224 NE TUDOR RD
LEES SUMMIT, MO 64086

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 Simon Burke's NPI number?

The NPI number for Simon Burke is 1023701174. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Simon Burke located?

Simon Burke practices at 224 NE Tudor Rd, Lees Summit, MO 64086. The listed phone number is (816) 525-4778.

What is Simon Burke's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Simon Burke enrolled in Medicare?

Yes. Simon 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 organization bills Medicare for Simon Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Burke reassigns Medicare benefits to Foot Doctors Of Kansas City, P.C. (Lees Summit, MO). The 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 Simon Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Burke accept?

Health plans from Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Simon 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.

When was this NPI record last updated?

The NPPES record for Simon Burke was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.