DR. DAVID M BURKE MD
NPI 1316970254
Psychiatry & Neurology - Neurology in Lewiston, ME
About Dr. David M Burke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID M BURKE MD (NPI 1316970254) is an individual neurology provider in Lewiston, Maine, licensed in Maine (016798) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. David M Burke 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Burke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 259 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEMaine Medical Center
Acute Care Hospitals · Portland, MECentral Maine Medical Center
Acute Care Hospitals · Lewiston, MESt Mary's Regional Medical Center
Acute Care Hospitals · Lewiston, MEMaine General Medical Center
Acute Care Hospitals · Augusta, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04240 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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWISTON, ME 04240
LEWISTON, ME 04240
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 David Burke's NPI number?
The NPI number for David Burke is 1316970254. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is David Burke located?
David Burke practices at 99 Campus Ave Suite 402, Lewiston, ME 04240. The listed phone number is (207) 777-4455.
What is David Burke's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is David Burke enrolled in Medicare?
Yes. David 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 David Burke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Burke reassigns Medicare benefits to 3 organizations: St. Mary's Regional Medical Center (Lewiston, ME), Mainegeneral Medical Center (Augusta, ME) and St. Joseph Hospital (Bangor, ME). 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 David Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Burke accept?
Health plans from Anthem Blue Cross and Blue Shield list David 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 David Burke affiliated with any hospitals?
According to CMS data, David Burke is affiliated with St Joseph Hospital, Maine Medical Center, Central Maine Medical Center, St Mary's Regional Medical Center and Maine General Medical Center.
When was this NPI record last updated?
The NPPES record for David Burke was last updated on November 8, 2022. 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.
# Dr. David M Burke, MD · NPI 1316970254
Neurology physician in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1316970254 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 016798 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 CAMPUS AVE, SUITE 402, Lewiston, ME 04240-6045
- **Phone:** (207) 777-4455 · **Fax:** (207) 777-4458
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME); Mainegeneral Medical Center (NPI 1083949184, Augusta, ME); St. Joseph Hospital (NPI 1154321545, Bangor, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** November 8, 2022
- **Other identifiers:** Medicaid 431811499 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1316970254) · Data from the CMS NPPES public registry.