COLE BURKHARTSMEIER MD
NPI 1265962609
Emergency Medicine in Saint Louis, MO

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 577-8000 Get Directions Write a Review

NPPES record last updated: February 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2018, Jun 21, 2017, Jun 18, 2017 (3 updates tracked since 2017).

About Cole Burkhartsmeier Md NPPES

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

COLE BURKHARTSMEIER MD (NPI 1265962609) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2017018433) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Medical College Of Wisconsin (2017).

NPPES Registry Identity

NPI1265962609
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCOLE BURKHARTSMEIERCredential: MD
Location Address3635 VISTA AVESaint Louis, MO 63110-2539
Mailing Address3635 Vista Avenue, Emergency Medicine OfficesSt Louis, MO 63110
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2017
Enumeration DateJune 18, 2017
Last NPPES UpdateFebruary 17, 20183 updates tracked since enumeration
NPI 1265962609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MO · 2017018433
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.

3635 VISTA AVE, Saint Louis, MO 63110

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

Cole Burkhartsmeier 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.

PECOS PAC ID6709206402
PECOS Enrollment IDI20201019002792
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 4

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.
84 services80 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.
35 services35 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

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
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110

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 Cole Burkhartsmeier's NPI number?

The NPI number for Cole Burkhartsmeier is 1265962609. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Cole Burkhartsmeier located?

Cole Burkhartsmeier practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-8000.

What is Cole Burkhartsmeier's specialty?

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

Is Cole Burkhartsmeier enrolled in Medicare?

Yes. Cole Burkhartsmeier 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 Cole Burkhartsmeier affiliated with any hospitals?

According to CMS data, Cole Burkhartsmeier is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Cole Burkhartsmeier was last updated on February 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.