JAMES RYAN BURKE MD
NPI 1215071527
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Columbia, SC
About James Ryan Burke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES RYAN BURKE MD (NPI 1215071527) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Columbia, South Carolina, licensed in Georgia (049484) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Ryan Burke Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show James Burke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 373 clinicians in this Medicare group
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAWellstar Paulding Medical Center
Acute Care Hospitals · Hiram, GAWellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAWellstar Douglas Medical Center
Acute Care Hospitals · Douglasville, GAWellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 James Burke's NPI number?
The NPI number for James Burke is 1215071527. It was assigned to this individual provider in the NPPES registry on February 19, 2007.
Where is James Burke located?
James Burke practices at 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203. The listed phone number is (803) 765-0871.
What is James Burke's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is James Burke enrolled in Medicare?
Yes. James 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.
Which organizations bill Medicare for James Burke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Burke reassigns Medicare benefits to 3 organizations: Prisma Health-Midlands (Columbia, SC), Prisma Health Medical Group-Midlands (Columbia, SC) and Wellstar Medical Group, LLC (Roswell, GA). 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 James Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Burke accept?
Health plans from Ambetter Health and Oscar Health list James 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 James Burke affiliated with any hospitals?
According to CMS data, James Burke is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center, Wellstar Douglas Medical Center and Wellstar North Fulton Hospital.
When was this NPI record last updated?
The NPPES record for James Burke was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# James Ryan Burke, MD · NPI 1215071527
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since February 19, 2007.
## Identity
- **NPI:** 1215071527 (Entity type: Individual)
- **Enumerated:** February 19, 2007
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 049484 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8 RICHLAND MEDICAL PARK DR STE 400, Columbia, SC 29203-8004
- **Phone:** (803) 765-0871 · **Fax:** (803) 765-9215
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prisma Health-Midlands (NPI 1003327792, Columbia, SC); Prisma Health Medical Group-Midlands (NPI 1346761897, Columbia, SC); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 2, 2020
- **Other identifiers:** Medicaid 300766 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1215071527) · Data from the CMS NPPES public registry.