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DR. ANDREW E BURG MD
NPI 1427043181
Family Medicine in Bradenton, FL

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1040 RIVER HERITAGE BLVD, SUITE 204, BRADENTON, FL 34212(941) 917-7100(941) 917-7142 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew E Burg Md NPPES

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

DR. ANDREW E BURG MD (NPI 1427043181) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (ME91867) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1427043181
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW E BURGCredential: MD
Location Address1040 RIVER HERITAGE BLVD, SUITE 204Bradenton, FL 34212-6348
Mailing AddressPo Box 863407Orlando, FL 32886-0001 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 917-7100
Fax(941) 917-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJune 27, 2014
✔ NPI 1427043181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME91867
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1040 RIVER HERITAGE BLVD, Bradenton, FL 34212
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Other Identifiers 9

Medicare UPINI20780FL
Medicaid271440000FL
OtherP00712233FL · Rail Road Medicare
Medicare PINU3778VFL
Medicare PINU3778TFL
Other01585FL · Bcbs
Medicare PINU3778SFL
OtherP00180092FL · Rail Road Medicare
Medicare PINU3778UFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, 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. Andrew E Burg 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 ID1759345275
PECOS Enrollment IDI20041115001137
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.

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.
600 services265 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.
577 services389 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
358 services358 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
24 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services19 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34212 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims48 services$6.85 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.87 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$56.60 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. MELISSA BETH BOUDREAUX PA-C
Physician Assistant
1040 RIVER HERITAGE BLVD, SUITE 204
BRADENTON, FL 34212
Manatee County (941) 917-7100
SMH PHYSICIAN SERVICES INC
Anesthesiology (Pain Medicine)
1040 RIVER HERITAGE BLVD, SUITE 201
BRADENTON, FL 34212
Manatee County (941) 917-4500
SMH PHYSICIAN SERVICES INC
Obstetrics & Gynecology
1040 RIVER HERITAGE BLVD, SUITE 202
BRADENTON, FL 34212
Manatee County (941) 917-2600
DR. KAREN MARVA BIGBY M.D.
Family Medicine
1040 RIVER HERITAGE BLVD, SUITE 204
BRADENTON, FL 34212
Manatee County (941) 917-7100
SMH PHYSICIAN SERVICES INC
Family Medicine
1040 RIVER HERITAGE BLVD, SUITE 204
BRADENTON, FL 34212
Manatee County (941) 917-8345
AMANDA HAFER D.O.
Family Medicine
1040 RIVER HERITAGE BLVD
BRADENTON, FL 34212
Manatee County (941) 917-6443

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 1427043181. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Andrew Burg located?

Andrew Burg practices at 1040 River Heritage Blvd Suite 204, Bradenton, FL 34212. The listed phone number is (941) 917-7100.

What is Andrew Burg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Burg enrolled in Medicare?

Yes. Andrew Burg 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 Andrew Burg accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andrew Burg 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 Andrew Burg affiliated with any hospitals?

According to CMS data, Andrew Burg is affiliated with Sarasota Memorial Hospital and Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Burg was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.