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DR. ANDREW CHARLES BURG M.D.
NPI 1366523805
Pathology - Anatomic Pathology & Clinical Pathology in Lake Forest, CA

Active since October 18, 2006PECOS Enrolled
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630(714) 726-9565 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2024, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Andrew Charles Burg M.d. NPPES

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

DR. ANDREW CHARLES BURG M.D. (NPI 1366523805) is an individual anatomic pathology & clinical pathology provider in Lake Forest, California, licensed in California (A43765) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366523805
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ANDREW CHARLES BURGCredential: M.D.
Location Address20505 CRESCENT BAY DRLake Forest, CA 92630-8825
Mailing Address20505 Crescent Bay DrLake Forest, CA 92630-8825 · (714) 726-9565
Phone(714) 726-9565
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1366523805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · A43765
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
20505 CRESCENT BAY DR, Lake Forest, CA 92630
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Other Identifiers 1

Medicaid00A437650CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Charles Burg 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 Andrew Burg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology Center Of Southern California Medical Group Inc
16 mi
Urology
801 SOUTH MAIN ST., SUITE 201
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1689601536 (951) 735-2700
Greater Long Beach Genito-Urinary Med Grp
30 mi
Urology
3650 SOUTH STREET, SUITE 408
Lakewood, CA 90712
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1417976705 (562) 630-0423

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 92630 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

MAMMOTH PATH SOLUTION, LLC
Clinical Medical Laboratory
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 317-0345
UNIQUE MEDI TECH, LLC
Clinical Medical Laboratory
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 317-0345
NATIONWIDE HEALTHCARE PROVIDER CORP
Independent Medical Examiner
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 505-4313
MEDPULL LLC
General Practice
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 317-0345

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 Andrew Burg's NPI number?

The NPI number for Andrew Burg is 1366523805. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Andrew Burg located?

Andrew Burg practices at 20505 Crescent Bay Dr, Lake Forest, CA 92630. The listed phone number is (714) 726-9565.

What is Andrew Burg's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Andrew Burg enrolled in Medicare?

Yes. Andrew Burg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Burg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Burg reassigns Medicare benefits to 2 organizations: Urology Center Of Southern California Medical Group Inc (Corona, CA) and Greater Long Beach Genito-Urinary Med Grp (Lakewood, CA). 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 Andrew Burg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Burg was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.