DR. EDWARD BURKE M.D.
NPI 1306885157
Internal Medicine in Fredericktown, MO
About Dr. Edward Burke M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD BURKE M.D. (NPI 1306885157) is an individual internal medicine provider in Fredericktown, Missouri, licensed in Illinois (036099747) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Parkland Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
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
Dr. Edward Burke M.d. 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 Reassignment
Medicare enrollment records show Edward Burke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fredericktown, MO 63645
- Reassigned Medicare billing, Missouri enrollment
- 6 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkland Health Center
Acute Care Hospitals · Farmington, MOMadison Medical Center
Critical Access Hospitals · Fredericktown, MOWashington County Memorial Hospital
Critical Access Hospitals · Potosi, MOIron County Medical Center
Critical Access Hospitals · Pilot Knob, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63645 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.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICKTOWN, MO 63645
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 Edward Burke's NPI number?
The NPI number for Edward Burke is 1306885157. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Edward Burke located?
Edward Burke practices at 735 W Main St, Fredericktown, MO 63645. The listed phone number is (573) 783-8875.
What is Edward Burke's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward Burke enrolled in Medicare?
Yes. Edward 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 organization bills Medicare for Edward Burke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Burke reassigns Medicare benefits to Community Health Care Associates, Inc (Fredericktown, MO). The 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 Edward Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Burke accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Edward 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 Edward Burke affiliated with any hospitals?
According to CMS data, Edward Burke is affiliated with Parkland Health Center, Madison Medical Center, Washington County Memorial Hospital and Iron County Medical Center.
When was this NPI record last updated?
The NPPES record for Edward Burke was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.