THOMAS J BURKE MD
NPI 1356354625
Obstetrics & Gynecology in Anchorage, AK

Active since August 15, 2006PECOS Enrolled
87.09/100
CMS Quality Rating
4320 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-3100(907) 729-3170 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas J Burke Md NPPES

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

THOMAS J BURKE MD (NPI 1356354625) is an individual obstetrics & gynecology provider in Anchorage, Alaska, licensed in Alaska (2121) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356354625
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHOMAS J BURKECredential: MD
Location Address4320 DIPLOMACY DRAnchorage, AK 99508-5925
Mailing Address4320 Diplomacy DrAnchorage, AK 99508-5925 · (907) 729-3100 · Fax (907) 729-3170
Fax(907) 729-3170
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateOctober 9, 2008
✔ NPI 1356354625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AK · 2121
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4320 DIPLOMACY DR, Anchorage, AK 99508

Other Identifiers 3

MedicaidMD2111AK
Medicare UPINE35197AK
Medicare ID-Type Unspecified8EZ79EAK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas J Burke Md 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

3

Medicare enrollment records show Thomas Burke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
Obstetrics & Gynecology
3976 UNIVERSITY LAKE DR STE 300
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
Specialist
3851 PIPER ST STE U264
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • Medicare enrollment name: Alaska Womens Cancer Care LLC
  • 8 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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

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.

Counselor (Mental Health)
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Pharmacist
4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508
Community Health Worker
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Pharmacist
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Family Medicine
4320 DIPLOMACY DR, SUITE 1191
ANCHORAGE, AK 99508
General Acute Care Hospital
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508

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 Thomas Burke's NPI number?

The NPI number for Thomas Burke is 1356354625. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Thomas Burke located?

Thomas Burke practices at 4320 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-3100.

What is Thomas Burke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Burke enrolled in Medicare?

Yes. Thomas Burke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Burke reassigns Medicare benefits to 3 organizations: Alaska Native Tribal Health Consortium (Anchorage, AK), Denali Ob-Gyn Assoc (Anchorage, AK) and Alaska Women's Cancer Care, LLC (Anchorage, AK). 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 Thomas Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Burke accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Burke was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.