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RENNIE BURKE
NPI 1306465125
Psychiatry & Neurology - Psychiatry in San Mateo, CA

Active since April 11, 2020PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2222 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2023, Apr 19, 2021, Apr 11, 2020 (3 updates tracked since 2020).

About Rennie Burke NPPES

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

RENNIE BURKE (NPI 1306465125) is an individual psychiatry provider in San Mateo, California, licensed in California (A179616) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306465125
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRENNIE BURKE
Location Address222 W 39TH AVESan Mateo, CA 94403-4364
Mailing AddressPo Box 5182Hemet, CA 92544-0182
Phone(650) 573-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 11, 2020
Last NPPES UpdateSeptember 10, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
✔ NPI 1306465125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A179616
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
222 W 39TH AVE, San Mateo, CA 94403
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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

Rennie 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 ID3779974886
PECOS Enrollment IDI20211228002109
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

3

Medicare enrollment records show Rennie Burke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Mateo
Same address
Public Health or Welfare
222 W 39TH AVE
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1831268580 (California), NPI 1114005105 (California)
  • 46 clinicians in this Medicare group
NPI 1306907928 (650) 573-2222
Alameda Health System
14 mi
Federally Qualified Health Center (FQHC)
664 SOUTHLAND MALL
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1023219821 (510) 266-1700
Contra Costa County
29 mi
Family Planning, Non-Surgical
13601 SAN PABLO AVE
San Pablo, CA 94806
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1417036484 (925) 957-5429

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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. LORENA MICHEL PSY.D.
Psychologist (Clinical)
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-3420
COUNTY OF SAN MATEO
General Acute Care Hospital
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-2222
DR. JUDITH CLAIRE SCHIFFNER M.D.
Dermatology
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-2414
SAN MATEO MEDICAL CENTER
Clinic/Center
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-2222
JOHN ANDERSON MD
Obstetrics & Gynecology
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-2222
MR. PAUL SAITO M.A.
Counselor
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-3435
CHRISTIAN SUSTRINA PTA
Physical Medicine & Rehabilitation
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-2222
KATHRYN JOY SANTANA RN PHN
Registered Nurse
222 W 39TH AVE
SAN MATEO, CA 94403
San Mateo County (650) 573-3982

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 Rennie Burke's NPI number?

The NPI number for Rennie Burke is 1306465125. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Rennie Burke located?

Rennie Burke practices at 222 W 39th Ave, San Mateo, CA 94403. The listed phone number is (650) 573-2222.

What is Rennie Burke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rennie Burke enrolled in Medicare?

Yes. Rennie 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 Rennie Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rennie Burke reassigns Medicare benefits to 3 organizations: County Of San Mateo (San Mateo, CA), Alameda Health System (Hayward, CA) and Contra Costa County (San Pablo, CA). 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 Rennie Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rennie Burke was last updated on September 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.