DR. EDWARD BURKE M.D.
NPI 1306885157
Internal Medicine in Fredericktown, MO

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
71.87/100
CMS Quality Rating
735 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-8875(573) 783-8890 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Poplar Bluff Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1306885157
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD BURKECredential: M.D.
Location Address735 W MAIN STFredericktown, MO 63645-1113
Mailing Address735 W Main StFredericktown, MO 63645-1113 · (573) 783-8875 · Fax (573) 783-8890
Fax(573) 783-8890
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 16, 2010
NPI 1306885157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036099747
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2010023551 (MO)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2010023551 (MO)
735 W MAIN ST, Fredericktown, MO 63645

Other Identifiers 4

Medicare UPING99077IL
Other268942Medicare Rhc
Medicare ID-Type UnspecifiedK02441IL · Cook
Medicaid597560408MO

Accepted Insurance

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

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.

PECOS PAC ID1355234956
PECOS Enrollment IDI20160127002357
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.

Hospital Affiliations CMS Care Compare 5

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

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Madison Medical Center

Critical Access Hospitals · Fredericktown, MO
OwnershipVoluntary non-profit - Other
CMS Certification Number261302
Location611 W Main StFredericktown, MO 63645 · Madison County
Emergency services

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Iron County Medical Center

Critical Access Hospitals · Pilot Knob, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261336
Location301 North Highway 21Pilot Knob, MO 63663 · Iron County
Emergency services

Physician 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.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

71.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.93
Improvement Activities20

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers62 claims161 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers46 claims61 services$1.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$74.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims103 services$3.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers36 claims41 services$21.31 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers30 claims31 services$6.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
735 W MAIN ST
FREDERICKTOWN, MO 63645
Family Medicine
735 W MAIN ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Pediatrics)
735 W MAIN ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Family)
735 W MAIN ST
FREDERICKTOWN, MO 63645
Family Medicine
735 W MAIN ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Family)
735 W MAIN ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Family)
735 W MAIN ST
FREDERICKTOWN, MO 63645
Social Worker (Clinical)
735 W MAIN ST
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.

What insurance does Edward Burke accept?

Health plans from UnitedHealthcare 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 Poplar Bluff Regional Medical Center, 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 with the weekly NPPES data releases published by CMS.