SEAMUS MICHAEL BURKE
NPI 1104594571
Physician Assistant in Kalispell, MT

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
1287 BURNS WAY, KALISPELL, MT 59901(406) 752-8120(406) 752-8134 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Sep 17, 2021 (2 updates tracked since 2021).

About Seamus Michael Burke NPPES

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

SEAMUS MICHAEL BURKE (NPI 1104594571) is an individual physician assistant in Kalispell, Montana, licensed in Montana (MED-PAC-LIC-115973) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1104594571
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAMUS MICHAEL BURKE
Location Address1287 BURNS WAYKalispell, MT 59901-3109
Mailing AddressMedex Northwest, 4311 11th Ave Ne, Suite 200Seattle, WA 98105 · (206) 616-4001
Fax(406) 752-8134
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022
Enumeration DateSeptember 1, 2021
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
NPI 1104594571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · MED-PAC-LIC-115973
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1287 BURNS WAY, Kalispell, MT 59901

Secondary Practice Location 1

Location 1Medex Northwest, 4311 11th Ave NE, suite 200Seattle, WA 98105 · Phone (206) 616-4001

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

Seamus Michael Burke 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 ID749651370
PECOS Enrollment IDI20230118003042
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services194 patients
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.
85 services81 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
39 services37 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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 20

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

Family Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Physician Assistant
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Dietitian, Registered
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Dietitian, Registered
1287 BURNS WAY
KALISPELL, MT 59901
Internal Medicine
1287 BURNS WAY
KALISPELL, MT 59901
Pediatrics
1287 BURNS WAY
KALISPELL, MT 59901

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 Seamus Burke's NPI number?

The NPI number for Seamus Burke is 1104594571. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Seamus Burke located?

Seamus Burke practices at 1287 Burns Way, Kalispell, MT 59901. The listed phone number is (406) 752-8120.

What is Seamus Burke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Seamus Burke enrolled in Medicare?

Yes. Seamus 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 Seamus Burke accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Seamus 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 Seamus Burke affiliated with any hospitals?

According to CMS data, Seamus Burke is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Seamus Burke was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.