ANTHONY BURBACH
NPI 1548407554
Physician Assistant in Vermillion, SD

Active since January 13, 2009PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
20 S PLUM ST, VERMILLION, SD 57069(605) 624-9111(605) 624-6636 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony Burbach NPPES

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

ANTHONY BURBACH (NPI 1548407554) is an individual physician assistant in Vermillion, South Dakota, licensed in South Dakota (0701) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Sanford Vermillion Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1548407554
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANTHONY BURBACH
Location Address20 S PLUM STVermillion, SD 57069-3346
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 624-6636
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 13, 2009
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1548407554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 0701
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20 S PLUM ST, Vermillion, SD 57069

Accepted 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

Anthony Burbach 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 ID2466517255
PECOS Enrollment IDI20090211000108
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.

Hospital Affiliations CMS Care Compare

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers11 claims22 services$5.98 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$14.72 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$38.11 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 20

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

Home Health
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Audiologist
20 S PLUM ST
VERMILLION, SD 57069
Emergency Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Pharmacy (Institutional Pharmacy)
20 S PLUM ST
VERMILLION, SD 57069
Physician Assistant
20 S PLUM ST
VERMILLION, SD 57069

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 Anthony Burbach's NPI number?

The NPI number for Anthony Burbach is 1548407554. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Anthony Burbach located?

Anthony Burbach practices at 20 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 624-9111.

What is Anthony Burbach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anthony Burbach enrolled in Medicare?

Yes. Anthony Burbach 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 Anthony Burbach accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Anthony Burbach 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 Anthony Burbach affiliated with any hospitals?

According to CMS data, Anthony Burbach is affiliated with Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Burbach was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.