DONALD R BURGESS M.D. - NPI 1336101104 - Pediatrics in Kennebunk, ME

Q: What is Donald Burgess's NPI number?

The NPI number for Donald Burgess is 1336101104. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Donald Burgess's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Donald Burgess was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Donald R Burgess M.d. NPPES

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

DONALD R BURGESS M.D. (NPI 1336101104) is an individual developmental - behavioral pediatrics provider in Kennebunk, Maine, licensed in Maine (014097) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Kennebunk.

NPPES Registry Identity

NPI1336101104

Entity TypeIndividualMale

Primary Taxonomy2080P0006X

Provider Legal NameDONALD R BURGESSCredential: M.D.

Location Address3 SHAPE DRKennebunk, ME 04043-6601

Mailing Address1 Medical Center Dr, P.o. Box 626Biddeford, ME 04005-9422 · (207) 282-9080 · Fax (207) 985-8459

Phone(207) 467-8983

Fax(207) 467-8981

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1990

Enumeration DateApril 5, 2006

Last NPPES UpdateAugust 9, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1336101104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in ME · 014097

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 014097 (ME)

3 SHAPE DR, Kennebunk, ME 04043

Open in Google Maps ↗

Secondary Practice Location 1

Location 13 Shape DrKennebunk, ME 04043-6601 · Phone (207) 467-8930 · Fax (207) 985-8459

Other Identifiers 6

Medicaid248080099ME

Other1041865ME · Aetna

OtherMNT053ME · Harvard Pilgrim

Other018435ME · Anthem

Medicaid30208022NH

Other610036401ME · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Donald R Burgess 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 ID2466510771

PECOS Enrollment IDI20081015000075

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

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIET SANCLEMENTE PNP

Nurse Practitioner (Pediatrics)