JAMES W BURHOP MD
NPI 1063492593
Surgery in Brookfield, WI

Q: What is James Burhop's NPI number?

The NPI number for James Burhop is 1063492593. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is James Burhop's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Burhop was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

17000 W NORTH AVE, STE 107W, BROOKFIELD, WI 53005(262) 786-3722(262) 786-0116 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About James W Burhop Md NPPES

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

JAMES W BURHOP MD (NPI 1063492593) is an individual surgery provider in Brookfield, Wisconsin, licensed in Wisconsin (28493) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1986).

NPPES Registry Identity

NPI1063492593

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES W BURHOPCredential: MD

Location Address17000 W NORTH AVE, STE 107WBrookfield, WI 53005-4423

Mailing Address17000 W North Ave, Ste 107wBrookfield, WI 53005-4423 · (262) 786-3722 · Fax (262) 786-0116

Phone(262) 786-3722

Fax(262) 786-0116

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986

Enumeration DateJanuary 19, 2006

Last NPPES UpdateFebruary 16, 2015

✔ NPI 1063492593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WI · 28493

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 28493-020 (WI)

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 28493-020 (WI)

17000 W NORTH AVE, Brookfield, WI 53005

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF18064WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

James W Burhop Md 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 ID9335107143

PECOS Enrollment IDI20041230000671, I20231220001664

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 2

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

36 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160153

Location801 5th StSioux City, IA 51101 · Woodbury County

Emergency services

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

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.

DR. MUSHIR HASSAN MD

Internal Medicine

17000 W NORTH AVE, SUITE 200 E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

MRS. SUSAN MARIE COBB OTR

Occupational Therapist

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

DR. RUSSELL BLANKENBURG MD

Internal Medicine

17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

MRS. PENNY BEAMS PT

Physical Therapist (Orthopedic)

17000 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

BOBBY WU MD

Surgery

17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005

Waukesha County (262) 786-3722

JACQUELINE J BERGNER APNP

Nurse Practitioner (Adult Health)

17000 W NORTH AVE, 104W
BROOKFIELD, WI 53005

Waukesha County (262) 785-7430

ELMBROOK INTERNAL MEDICINE ASSOCIATES S.C.

Clinic/Center (Primary Care)

17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005

Waukesha County (262) 782-4270

SARAH J HOFFMAN

Physical Therapist

17000 W NORTH AVE, 2W
BROOKFIELD, WI 53005

Waukesha County (262) 780-4300

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 James Burhop's NPI number?

The NPI number for James Burhop is 1063492593. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is James Burhop located?

James Burhop practices at 17000 W North Ave Ste 107W, Brookfield, WI 53005. The listed phone number is (262) 786-3722.

What is James Burhop's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Burhop enrolled in Medicare?

Yes. James Burhop 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 James Burhop accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list James Burhop 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 James Burhop affiliated with any hospitals?

According to CMS data, James Burhop is affiliated with St Lukes Regional Medical Center, Mercyone Siouxland Medical Center and Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for James Burhop was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.