JOHN E BURKE PHD
NPI 1114992427
Psychologist - Clinical in Hagerstown, MD

Active since February 21, 2006PECOS Enrolled
13218 BROOK LANE DRIVE, HAGERSTOWN, MD 21742(301) 733-0331(301) 733-4038 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2018, Sep 30, 2016 (2 updates tracked since 2016).

About John E Burke Phd NPPES

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

JOHN E BURKE PHD (NPI 1114992427) is an individual clinical provider in Hagerstown, Maryland, licensed in Maryland (799) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1114992427
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN E BURKECredential: PHD
Location Address13218 BROOK LANE DRIVEHagerstown, MD 21742-1945
Mailing Address13121 Brook LaneHagerstown, MD 21742-1514 · (301) 733-0331 · Fax (301) 733-4038
Fax(301) 733-4038
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 19, 20182 updates tracked since enumeration
✔ NPI 1114992427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 799
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
13218 BROOK LANE DRIVE, Hagerstown, MD 21742

Secondary Practice Location 1

Location 113218 Brook Lane DriveHagerstown, MD 21742-1945 · Phone (301) 733-0331 ext. 184 · Fax (301) 733-4038

Other Identifiers 1

Medicaid405965400MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John E Burke Phd 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 Reassignments

2

Medicare enrollment records show John Burke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
13121 BROOKLANE DR
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 311 clinicians in this Medicare group
Psychiatry
13215 BROOK LANE, OUTPATIENT SERVICES
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 47 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 21742 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
$175.57 typical visit price
range $57.99 – $175.57
Typical copayment $43.89 (range $14.49 – $43.89)
Most-billed visit code 99205
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 18

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

Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Counselor (Professional)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742

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 John Burke's NPI number?

The NPI number for John Burke is 1114992427. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is John Burke located?

John Burke practices at 13218 Brook Lane Drive, Hagerstown, MD 21742. The listed phone number is (301) 733-0331.

What is John Burke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Burke enrolled in Medicare?

Yes. John Burke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Burke reassigns Medicare benefits to 2 organizations: Meritus Medical Center Inc (Hagerstown, MD) and Brook Lane Behavioral Services, Inc. (Hagerstown, MD). Each 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 John Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Burke was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.