MS. KAREN SUE BURGOON CRNP
NPI 1487632063
Nurse Practitioner - Family in Pittsburgh, PA

Q: What is Karen Burgoon's NPI number?

The NPI number for Karen Burgoon is 1487632063. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Karen Burgoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Burgoon was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

88.68/100

CMS Quality Rating

9104 BABCOCK BLVD, SUITE 2120, PITTSBURGH, PA 15237(412) 367-0600(412) 367-7079 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jun 11, 2018 (2 updates tracked since 2018).

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About Ms. Karen Sue Burgoon Crnp NPPES

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

MS. KAREN SUE BURGOON CRNP (NPI 1487632063) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP007580) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1487632063

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KAREN SUE BURGOONCredential: CRNP

Location Address9104 BABCOCK BLVD, SUITE 2120Pittsburgh, PA 15237-5818

Mailing Address155 Memorial DrPinehurst, NC 28374-8710 · (412) 860-9781

Phone(412) 367-0600

Fax(412) 367-7079

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1487632063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in PA · SP007580✔ Licensed in NC · 0050-00686

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5000686 (NC)

9104 BABCOCK BLVD, Pittsburgh, PA 15237

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Secondary Practice Location 1

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-8383 · Fax (336) 718-9622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Ms. Karen Sue Burgoon Crnp 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 ID5092710509

PECOS Enrollment IDI20180702000399

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

160 services59 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

58 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

44 services16 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

88.68/100

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

Scored as part of a group practice

Quality

81.59

Promoting Interoperability

Improvement Activities

Cost

84.03

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.

GABRIELLE ANNE BUI MD

Student in an Organized Health Care Education/Training Program

9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237

Allegheny County (412) 748-7407

NATALIE LLEWELLYN

Physician Assistant (Surgical)

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

VASANTI HARSHIT MAJMUDAR M.D.

Obstetrics & Gynecology

9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237

Allegheny County (412) 364-4184

JAMES CRAIG

Physical Medicine & Rehabilitation (Pain Medicine)

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

DR. RICHARD AVERY HERMAN JR. MD

Student in an Organized Health Care Education/Training Program

9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237

Allegheny County (706) 721-0211

ROMANO PONTZER & ASSOCIATES LIMITED

Internal Medicine (Infectious Disease)

9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237

Allegheny County (412) 348-0330

JUDITH ESMAN

Internal Medicine

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

DR. MICHAEL W. WEISS M.D.

Specialist

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

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 Karen Burgoon's NPI number?

The NPI number for Karen Burgoon is 1487632063. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Karen Burgoon located?

Karen Burgoon practices at 9104 Babcock Blvd Suite 2120, Pittsburgh, PA 15237. The listed phone number is (412) 367-0600.

What is Karen Burgoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Burgoon enrolled in Medicare?

Yes. Karen Burgoon 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 Karen Burgoon accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Burgoon 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 Karen Burgoon affiliated with any hospitals?

According to CMS data, Karen Burgoon is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Karen Burgoon was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.