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KAREN BURGESS M.D.
NPI 1316917982
Pediatrics in Tuscaloosa, AL

Active since January 25, 2006PECOS Enrolled
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401(205) 348-1770(205) 348-7988 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Aug 7, 2017 (3 updates tracked since 2017).

About Karen Burgess M.d. NPPES

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

KAREN BURGESS M.D. (NPI 1316917982) is an individual pediatrics provider in Tuscaloosa, Alabama, licensed in Alabama (22896) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316917982
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN BURGESSCredential: M.D.
Location Address850 PETER BRYCE BLVDTuscaloosa, AL 35401-7419
Mailing Address850 Peter Bryce BlvdTuscaloosa, AL 35401-7419 · (205) 348-1770 · Fax (205) 348-7988
Phone(205) 348-1770
Fax(205) 348-7988
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1316917982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 22896
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
850 PETER BRYCE BLVD, Tuscaloosa, AL 35401
Open in Google Maps ↗

Other Identifiers 1

Medicaid051502626AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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)

Karen Burgess M.d. 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 Karen Burgess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capstone Health Services Foundation PC
Same address
Family Medicine
850 PETER BRYCE BLVD
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 307 clinicians in this Medicare group
NPI 1740397751 (205) 348-1770
Whatley Health Services Inc
2.3 mi
Federally Qualified Health Center (FQHC)
3532 GREENSBORO AVE
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 244 clinicians in this Medicare group
NPI 1063606358 (205) 349-3250

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 35401 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

DORCUS RUHIGISHA MD
Student in an Organized Health Care Education/Training Program
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
MARY ELIZABETH CLARK LANIER DO
Student in an Organized Health Care Education/Training Program
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
ROBERT D SLAUGHTER MD
Psychiatry & Neurology (Neurology)
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
SCHAE HANSON
Family Medicine
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
RICHARD D. FRIEND M.D.
Family Medicine
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
TAMEKA CARMICHAEL HAIRSTON MD
Family Medicine
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770
DR. CHRISTEL DOIRON BOWMAN MD
Family Medicine
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-3148
SHAWNNA OGDEN
Family Medicine
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 348-1770

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 Karen Burgess's NPI number?

The NPI number for Karen Burgess is 1316917982. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Karen Burgess located?

Karen Burgess practices at 850 Peter Bryce Blvd, Tuscaloosa, AL 35401. The listed phone number is (205) 348-1770.

What is Karen Burgess's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Burgess enrolled in Medicare?

Yes. Karen Burgess is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Burgess reassigns Medicare benefits to 2 organizations: Capstone Health Services Foundation PC (Tuscaloosa, AL) and Whatley Health Services Inc (Tuscaloosa, AL). 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 Karen Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Burgess accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Karen Burgess 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 Karen Burgess was last updated on March 7, 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.