PHILIP R. BURKE MD, MPH
NPI 1083611826
Psychiatry & Neurology - Psychiatry in Brookline, MA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
1419 BEACON ST, BROOKLINE, MA 02446(617) 983-0280(617) 934-1789 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip R. Burke Md, Mph NPPES

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

PHILIP R. BURKE MD, MPH (NPI 1083611826) is an individual psychiatry provider in Brookline, Massachusetts, licensed in Massachusetts (217495) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1083611826
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePHILIP R. BURKECredential: MD, MPH
Location Address1419 BEACON STBrookline, MA 02446-4808
Mailing Address1419 Beacon StBrookline, MA 02446-4808 · (617) 983-0280 · Fax (617) 934-1789
Fax(617) 934-1789
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1997
Enumeration DateJuly 7, 2005
Last NPPES UpdateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
NPI 1083611826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 217495
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 217495 (MA)
1419 BEACON ST, Brookline, MA 02446

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 856-6780

Other Identifiers 3

Medicaid2099489MA
Other468341MA · Tufts Health Plan
OtherJ28796MA · Bcbs Of Ma

Accepted 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

Philip R. Burke Md, Mph 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 ID4486609757
PECOS Enrollment IDI20050318000865, I20250121001742
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services25 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02446 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers326 claims326 services$34.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers207 claims207 services$79.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers202 claims584 services$29.12 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers80 claims464 services$16.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers42 claims243 services$12.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers138 claims138 services$45.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist (Clinical)
1419 BEACON ST
BROOKLINE, MA 02446
Psychologist (Clinical)
1419 BEACON ST
BROOKLINE, MA 02446
Social Worker (Clinical)
1419 BEACON ST, SUITE 31
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1419 BEACON ST, #23
BROOKLINE, MA 02446
Clinical Nurse Specialist (Psychiatric/Mental Health)
1419 BEACON ST, SUITE #12
BROOKLINE, MA 02446
Specialist
1419 BEACON ST, OFFICE #16
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1419 BEACON ST
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1419 BEACON ST
BROOKLINE, MA 02446

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 Philip Burke's NPI number?

The NPI number for Philip Burke is 1083611826. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Philip Burke located?

Philip Burke practices at 1419 Beacon St, Brookline, MA 02446. The listed phone number is (617) 983-0280.

What is Philip Burke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Philip Burke enrolled in Medicare?

Yes. Philip 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.

What insurance does Philip Burke accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Philip 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 Philip Burke affiliated with any hospitals?

According to CMS data, Philip Burke is affiliated with Umass Memorial Healthalliance Hospitals.

When was this NPI record last updated?

The NPPES record for Philip Burke was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.