JAMES T BURDETT MD
NPI 1083684179
Pediatrics in Rolla, MO

Active since January 23, 2006PECOS Enrolled
1050 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 426-6694 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2019, Apr 11, 2018 (2 updates tracked since 2018).

About James T Burdett Md NPPES

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

JAMES T BURDETT MD (NPI 1083684179) is an individual pediatrics provider in Rolla, Missouri, licensed in Nevada (9853) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083684179
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES T BURDETTCredential: MD
Location Address1050 W 10TH STRolla, MO 65401
Mailing Address1050 W 10th St, Attn: Executive Director Of Physician ClinicsRolla, MO 65402 · (573) 364-9000 · Fax (573) 426-2282
Fax(573) 426-6694
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1083684179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NV · 9853
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1050 W 10TH ST, Rolla, MO 65401

Other Identifiers 5

OtherP00396911Rr Medicare
OtherCE9335IL · Rr Medicare Grp
Other207988IL · Group Med
Medicaid100500798NV
Medicaid036118822IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James T Burdett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James Burdett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 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 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

Pediatrics
1050 W 10TH ST
ROLLA, MO 65401
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Orthopaedic Surgery
1050 W 10TH ST
ROLLA, MO 65401
Obstetrics & Gynecology
1050 W 10TH ST
ROLLA, MO 65401
Psychiatry & Neurology (Neurology)
1050 W 10TH ST
ROLLA, MO 65401
Nurse Practitioner (Adult Health)
1050 W 10TH ST
ROLLA, MO 65401
Physician Assistant
1050 W 10TH ST
ROLLA, MO 65401

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 Burdett's NPI number?

The NPI number for James Burdett is 1083684179. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is James Burdett located?

James Burdett practices at 1050 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is James Burdett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Burdett enrolled in Medicare?

Yes. James Burdett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Burdett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Burdett reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). 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 James Burdett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Burdett accept?

Health plans from Select Health list James Burdett 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 James Burdett was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.