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DR. JOHN EDWARD BURKE MD
NPI 1396249355
Orthopaedic Surgery in Birmingham, AL

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S STE 200, BIRMINGHAM, AL 35205(205) 930-8990 Get Directions Write a Review

NPPES record last updated: June 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2023, Oct 21, 2019, Mar 22, 2018 (3 updates tracked since 2018).

About Dr. John Edward Burke Md NPPES

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

DR. JOHN EDWARD BURKE MD (NPI 1396249355) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Florida (TRN26702) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2018).

NPPES Registry Identity

NPI1396249355
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN EDWARD BURKECredential: MD
Location Address1201 11TH AVE S STE 200Birmingham, AL 35205-3422
Mailing Address1201 11th Ave S Ste 200Birmingham, AL 35205-3422
Phone(205) 930-8990
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateJune 3, 20233 updates tracked since enumeration
NPPES CertifiedJune 3, 2023
✔ NPI 1396249355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · TRN26702
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1201 11TH AVE S STE 200, Birmingham, AL 35205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. John Edward 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.

PECOS PAC ID345585840
PECOS Enrollment IDI20241102000461
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.

Areas of Expertise CMS Part B claims 6

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
37 services15 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.
31 services28 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.
22 services17 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
19 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 2

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

DR. EMILY AUTUMN COMPTON MD
Orthopaedic Surgery
1201 11TH AVE S STE 200
BIRMINGHAM, AL 35205
Jefferson County (205) 930-8990
KENNIETH CHARLES MCCOLLOUGH JR. M.D.
Orthopaedic Surgery (Sports Medicine)
1201 11TH AVE S STE 200
BIRMINGHAM, AL 35205
Jefferson County (205) 930-8339

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 John Burke's NPI number?

The NPI number for John Burke is 1396249355. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is John Burke located?

John Burke practices at 1201 11th Ave S Ste 200, Birmingham, AL 35205. The listed phone number is (205) 930-8990.

What is John Burke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Burke enrolled in Medicare?

Yes. John 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.

What insurance does John Burke accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John 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 John Burke affiliated with any hospitals?

According to CMS data, John Burke is affiliated with Candler Hospital, Memorial University Medical Center, St Joseph's Hospital - Savannah and Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for John Burke was last updated on June 3, 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.