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DR. JOHN MARCEL JAMES BURNEY MD
NPI 1124356084
Obstetrics & Gynecology in Fort Pierce, FL

Active since December 03, 2009PECOS Enrolled
2402 FRIST BLVD, FORT PIERCE, FL 34950(772) 429-3400(844) 542-4894 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2020, Jul 23, 2018 (2 updates tracked since 2018).

About Dr. John Marcel James Burney Md NPPES

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

DR. JOHN MARCEL JAMES BURNEY MD (NPI 1124356084) is an individual obstetrics & gynecology provider in Fort Pierce, Florida, licensed in Florida (ME115510) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1124356084
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN MARCEL JAMES BURNEYCredential: MD
Location Address2402 FRIST BLVDFort Pierce, FL 34950-4838
Mailing Address5827 Corporate WayWest Palm Beach, FL 33407-2000 · (561) 373-0765 · Fax (561) 472-9692
Phone(772) 429-3400
Fax(844) 542-4894
Sole ProprietorYes
Enumeration DateDecember 3, 2009
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
✔ NPI 1124356084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME115510
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2402 FRIST BLVD, Fort Pierce, FL 34950
Open in Google Maps ↗

Secondary Practice Location 1

Location 1705 E Marshall Ave, Suite 3000Longview, TX 75601-5573 · Phone (903) 315-2700 · Fax (903) 236-2575

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Marcel James Burney 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 Reassignments

5

Medicare enrollment records show John Burney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Community Health Centers, Inc.
0.9 mi
Federally Qualified Health Center (FQHC)
1505 DELAWARE AVE
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 50 clinicians in this Medicare group
NPI 1104875095 (772) 461-1402
Ob Hospitalist Group LLC
48 mi
Obstetrics & Gynecology
1350 HICKORY ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1245472661 (864) 908-3530
Carolina Family Care, Inc
356 mi
Family Medicine
1003 LANDFALL WAY
Johns Island, SC 29455
  • Reassigned Medicare billing, South Carolina enrollment
  • 509 clinicians in this Medicare group
NPI 1649202110 (843) 768-0888
Mcleod Health Clarendon
430 mi
Family Medicine
512 NELSON BLVD STE 200
Kingstree, SC 29556
  • Reassigned Medicare billing, South Carolina enrollment
  • 215 clinicians in this Medicare group
NPI 1326693953 (843) 355-5459
Obhg Tennessee, P.C.
754 mi
Obstetrics & Gynecology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 92 clinicians in this Medicare group
NPI 1285924977 (800) 967-2289

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 34950 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
7%41 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
47%339 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%176 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

DR. SETU A DALAL D.O.
Surgery (Surgical Critical Care)
2402 FRIST BLVD, SUITE 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
DR. JASON ALAN MOORE MD
Surgery (Surgical Critical Care)
2402 FRIST BLVD, STE. 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
MRS. ELIZABETH S DEL ROSSA
Physician Assistant
2402 FRIST BLVD, STE 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
GLORIA E MCNEIL MD., PL
Internal Medicine (Gastroenterology)
2402 FRIST BLVD
FORT PIERCE, FL 34950
St. Lucie County (772) 462-6606
DR. LEIGHTON ANDREW TAYLOR M.D.
Surgery (Plastic and Reconstructive Surgery)
2402 FRIST BLVD, SUITE 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
DR. GARY JOSEPH CURCIO MD
Surgery (Surgical Critical Care)
2402 FRIST BLVD, STE 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
DR. JOHN T MALCYNSKI MD
Surgery (Surgical Critical Care)
2402 FRIST BLVD, SUITE 204
FORT PIERCE, FL 34950
St. Lucie County (772) 462-3939
FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology
2402 FRIST BLVD, SUITE 202
FORT PIERCE, FL 34950
St. Lucie County (772) 429-3400

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 Burney's NPI number?

The NPI number for John Burney is 1124356084. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is John Burney located?

John Burney practices at 2402 Frist Blvd, Fort Pierce, FL 34950. The listed phone number is (772) 429-3400.

What is John Burney's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Burney enrolled in Medicare?

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

Which organizations bill Medicare for John Burney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Burney reassigns Medicare benefits to 5 organizations: Florida Community Health Centers, Inc. (Fort Pierce, FL), Ob Hospitalist Group LLC (Melbourne, FL), Carolina Family Care, Inc (Johns Island, SC), Mcleod Health Clarendon (Kingstree, SC) and Obhg Tennessee, P.C. (Jackson, TN). 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 Burney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Burney accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Molina Healthcare list John Burney 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 John Burney was last updated on December 22, 2023. 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.