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DR. MICHAEL A BURKE M.D.
NPI 1497704274
Orthopaedic Surgery in Stockbridge, GA

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
145 MEDICAL BLVD, STOCKBRIDGE, GA 30281(770) 389-8386(770) 507-9576 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael A Burke M.d. NPPES

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

DR. MICHAEL A BURKE M.D. (NPI 1497704274) is an individual orthopaedic surgery provider in Stockbridge, Georgia, licensed in Georgia (043885) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Vanderbilt University School Of Medicine (1991).

NPPES Registry Identity

NPI1497704274
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL A BURKECredential: M.D.
Location Address145 MEDICAL BLVDStockbridge, GA 30281-5083
Mailing Address145 Medical BlvdStockbridge, GA 30281 · (770) 389-8386 · Fax (770) 507-9576
Phone(770) 389-8386
Fax(770) 507-9576
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1991
Enumeration DateMay 9, 2006
Last NPPES UpdateDecember 20, 2007
✔ NPI 1497704274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 043885
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.
145 MEDICAL BLVD, Stockbridge, GA 30281
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN20BBFKSGA
Medicare UPING54966GA
Medicaid000761747FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Michael A Burke M.d. 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 ID8921132457
PECOS Enrollment IDI20100818001247
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 9

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.
210 services33 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.
163 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
37 services13 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.
33 services26 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.
33 services27 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

SUTTON ORTHOPAEDICS & SPORTS MEDICINE, P.C.
Durable Medical Equipment & Medical Supplies
145 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (770) 389-8386
DR. AMISH JAYENDRA PATEL D.M.D
Dentist (General Practice)
145 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (770) 389-0389
DR. JOSEPH CARL SUTTON III M.D.
Orthopaedic Surgery
145 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (770) 389-8386
SUTTON ORTHOPAEDICS & SPORTS MEDICINE PC
Orthopaedic Surgery (Sports Medicine)
145 MEDICAL BLVD
STOCKBRIDGE, GA 30281
Henry County (770) 389-8386

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 Michael Burke's NPI number?

The NPI number for Michael Burke is 1497704274. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Michael Burke located?

Michael Burke practices at 145 Medical Blvd, Stockbridge, GA 30281. The listed phone number is (770) 389-8386.

What is Michael Burke's specialty?

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

Is Michael Burke enrolled in Medicare?

Yes. Michael 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 Michael Burke accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michael 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 Michael Burke affiliated with any hospitals?

According to CMS data, Michael Burke is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Michael Burke was last updated on December 20, 2007. 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.