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JONATHAN WILLIAM BURGEI DO
NPI 1265936504
Internal Medicine - Pulmonary Disease in Youngstown, OH

Active since March 21, 2018PECOS Enrolled
82.9/100
CMS Quality Rating
1001 COVINGTON ST, YOUNGSTOWN, OH 44510(330) 480-3258(330) 480-4119 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Mar 21, 2018 (2 updates tracked since 2018).

About Jonathan William Burgei Do NPPES

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

JONATHAN WILLIAM BURGEI DO (NPI 1265936504) is an individual pulmonary disease provider in Youngstown, Ohio, licensed in Ohio (34.014945) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265936504
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJONATHAN WILLIAM BURGEICredential: DO
Location Address1001 COVINGTON STYoungstown, OH 44510-1617
Mailing Address1001 Covington StYoungstown, OH 44510-1617 · (330) 480-3258 · Fax (330) 480-4119
Phone(330) 480-3258
Fax(330) 480-4119
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1265936504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 34.014945
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1001 COVINGTON ST, Youngstown, OH 44510
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare 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)

Jonathan William Burgei Do 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 Jonathan Burgei reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Youngstown Specialty Care LLC
0.2 mi
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1609544055 (330) 746-7211
Guthrie Medical Group, P.C.
181 mi
Family Medicine
110 PLAZA LN
Wellsboro, PA 16901
  • Reassigned Medicare billing, Pennsylvania and New York enrollments
  • Medicare enrollment name: Guthrie Medical Group PC
  • Also billed through NPI 1134178635 (New York)
  • 830 clinicians in this Medicare group
NPI 1952350167 (570) 724-4241

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44510 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

DR. VIPIN DAS VILLGRAN MD
Internal Medicine (Pulmonary Disease)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3258
MICHAEL R SIPPEL MD
Surgery
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2371
JOANNE GRACE SANTOS GREISING MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
AKSHITA KAUSHAL MD
Student in an Organized Health Care Education/Training Program
1001 COVINGTON ST, ST ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CYNTHIA ANN KRAVEC MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CHITSIMRAN MANN
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3565
ANGELA SALCEDO AQUINO
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
DR. CHARLES A PAGE DMD
Dentist (General Practice)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3195

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 Jonathan Burgei's NPI number?

The NPI number for Jonathan Burgei is 1265936504. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Jonathan Burgei located?

Jonathan Burgei practices at 1001 Covington St, Youngstown, OH 44510. The listed phone number is (330) 480-3258.

What is Jonathan Burgei's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jonathan Burgei enrolled in Medicare?

Yes. Jonathan Burgei is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Burgei's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Burgei reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Guthrie Medical Group, P.C. (Wellsboro, PA). 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 Jonathan Burgei's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Burgei accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Jonathan Burgei 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 Jonathan Burgei was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.