NICHOLAS ANTONIO BURKE
NPI 1174144364
Emergency Medicine in Mount Vernon, IL

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 242-4600 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas Antonio Burke NPPES

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

NICHOLAS ANTONIO BURKE (NPI 1174144364) is an individual emergency medicine provider in Mount Vernon, Illinois, licensed in Illinois (036165520) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2020).

NPPES Registry Identity

NPI1174144364
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS ANTONIO BURKE
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address58654 Valley View DrWashington, MI 48094-0901 · (586) 246-0714
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020
Enumeration DateApril 29, 2020
Last NPPES UpdateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
NPI 1174144364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036165520
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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

Nicholas Antonio 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 ID3476974270
PECOS Enrollment IDI20230918004082
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
236 services223 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

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 Nicholas Burke's NPI number?

The NPI number for Nicholas Burke is 1174144364. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Nicholas Burke located?

Nicholas Burke practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 242-4600.

What is Nicholas Burke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Burke enrolled in Medicare?

Yes. Nicholas 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.

Is Nicholas Burke affiliated with any hospitals?

According to CMS data, Nicholas Burke is affiliated with Good Samaritan Regional Hlth Center, Touchette Regional Hospital Inc, Anderson Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Burke was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.