KRISTI NICOLE BURKHART D.O.
NPI 1215052964
Family Medicine in Bertram, TX

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
160 N LAMPASAS ST, BERTRAM, TX 78605(512) 355-9233(512) 355-9230 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 12, 2017 (2 updates tracked since 2017).

About Kristi Nicole Burkhart D.o. NPPES

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

KRISTI NICOLE BURKHART D.O. (NPI 1215052964) is an individual family medicine provider in Bertram, Texas, licensed in Texas (M5078) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Highland Lakes, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215052964
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTI NICOLE BURKHARTCredential: D.O.
Location Address160 N LAMPASAS STBertram, TX 78605-4323
Mailing AddressPo Box 1219Burnet, TX 78611-7219 · (512) 355-9233 · Fax (512) 355-9230
Fax(512) 355-9230
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2004
Enumeration DateMarch 20, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1215052964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M5078
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
160 N LAMPASAS ST, Bertram, TX 78605

Secondary Practice Locations 2

Location 18465 Hwy 77Lexington, TX 78947 · Phone (979) 773-9000 · Fax (979) 773-9501
Location 21205 Central Texas ExpyLampasas, TX 76550-3388 · Phone (512) 556-5362 · Fax (512) 556-8004

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

Kristi Nicole Burkhart D.o. 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 ID5991874265
PECOS Enrollment IDI20080513000701
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.

Hospital Affiliations CMS Care Compare

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

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78605 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%183 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
89%35 patients1/55-star benchmark: 100%
Advance Care Plan
99%616 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
69%45 patients3/55-star benchmark: 100%
Breast Cancer Screening
77%468 patients4/55-star benchmark: 93%
Cervical Cancer Screening
62%437 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
11%72 patients
Closing the Referral Loop: Receipt of Specialist Report
50%670 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
77%871 patients4/55-star benchmark: 88%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
0%20 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
79%654 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
78%27 patients3/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
64%96 patients3/55-star benchmark: 100%
Dementia: Cognitive Assessment
81%21 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
22%251 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
23%222 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%222 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,324 patients5/55-star benchmark: 100%
e-Prescribing
100%5,724 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
83%595 patients4/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
0%57 patients
HIV Screening
4%883 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
58%1,124 patients3/55-star benchmark: 98%
Optimal Asthma Control
Patients adultCtrlNoExacRisk: 0% · 39 patients
Patients adultsNoRiskExac: 0% · 39 patients
Patients adultsWellCtrl: 5% · 39 patients
0%56 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
53%1,386 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%1,050 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%1,486 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,274 patients
Patients screened: 98% · 1,274 patients
93%200 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 52% · 1,125 patients
Patients screened: 56% · 1,125 patients
13%60 patients
Provide Patients Electronic Access to Their Health Information
79%1,220 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
80%295 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%487 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 617 patients
Patients totalRate: 9% · 632 patients
8%632 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers36 claims93 services$6.26 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers14 claims14 services$43.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers13 claims13 services$68.62 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers11 claims11 services$21.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers15 claims78 services$2.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers20 claims20 services$202.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
160 N LAMPASAS ST
BERTRAM, TX 78605
Clinic/Center (Rural Health)
160 N LAMPASAS ST
BERTRAM, TX 78605
Physician Assistant
160 N LAMPASAS ST
BERTRAM, TX 78605

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 Kristi Burkhart's NPI number?

The NPI number for Kristi Burkhart is 1215052964. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Kristi Burkhart located?

Kristi Burkhart practices at 160 N Lampasas St, Bertram, TX 78605. The listed phone number is (512) 355-9233.

What is Kristi Burkhart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristi Burkhart enrolled in Medicare?

Yes. Kristi Burkhart 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 Kristi Burkhart accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kristi Burkhart 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 Kristi Burkhart affiliated with any hospitals?

According to CMS data, Kristi Burkhart is affiliated with Ascension Seton Highland Lakes.

When was this NPI record last updated?

The NPPES record for Kristi Burkhart was last updated on March 17, 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.