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CHARLES RYAN BURKETT M.D.
NPI 1548654189
Family Medicine in Audubon, IA

Active since March 21, 2015PECOS EnrolledAccepts Medicare Assignment
515 PACIFIC AVE STE 2, AUDUBON, IA 50025(712) 563-4611(412) 563-2498 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2018, Feb 14, 2018 (2 updates tracked since 2018).

About Charles Ryan Burkett M.d. NPPES

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

CHARLES RYAN BURKETT M.D. (NPI 1548654189) is an individual family medicine provider in Audubon, Iowa, licensed in Iowa (44629) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and maintains a secondary practice location in Exira.

NPPES Registry Identity

NPI1548654189
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES RYAN BURKETTCredential: M.D.
Location Address515 PACIFIC AVE STE 2Audubon, IA 50025-1056
Mailing Address515 Pacific AveAudubon, IA 50025-1056 · (402) 505-2622
Phone(712) 563-4611
Fax(412) 563-2498
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 21, 2015
Last NPPES UpdateSeptember 27, 20182 updates tracked since enumeration
✔ NPI 1548654189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 44629
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.
515 PACIFIC AVE STE 2, Audubon, IA 50025
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Secondary Practice Location 1

Location 1107 S Jefferson StExira, IA 50076-7726 · Phone (712) 268-5348 · Fax (712) 268-2145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Ryan Burkett 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 ID6901114875
PECOS Enrollment IDI20180208002891
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Charles Burkett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Clinic Inc
67 mi
Family Medicine
10060 REGENCY CIR
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 544 clinicians in this Medicare group
NPI 1821049156 (402) 354-1500
Unmc Physicians
70 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739
Teledigm Physician Services, LLC
112 mi
Specialist
5733 S 34TH ST STE 500
Lincoln, NE 68516
  • Reassigned Medicare billing, Nebraska enrollment
  • 48 clinicians in this Medicare group
NPI 1548667256 (315) 350-6970
Grand Island Regional Medical Center
188 mi
Emergency Medicine
3533 PRAIRIEVIEW ST
Grand Island, NE 68803
  • Reassigned Medicare billing, Nebraska enrollment
  • 75 clinicians in this Medicare group
NPI 1225658495 (308) 675-5000
Bryan Hospital Kearney
229 mi
Family Medicine
816 22ND AVE STE 100
Kearney, NE 68845
  • Reassigned Medicare billing, Nebraska enrollment
  • 187 clinicians in this Medicare group
NPI 1033875380 (308) 865-2263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
348 services182 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
141 services131 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.
56 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Methodist Fremont Health

Acute Care Hospitals · Fremont, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280077
Location450 East 23rd StFremont, NE 68025 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50025 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$18.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers19 claims19 services$100.26 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

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

JAMES MICHAEL CUNNINGHAM D.O.
Family Medicine
515 PACIFIC AVE STE 2
AUDUBON, IA 50025
Audubon County (712) 563-4611

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 Charles Burkett's NPI number?

The NPI number for Charles Burkett is 1548654189. It was assigned to this individual provider in the NPPES registry on March 21, 2015.

Where is Charles Burkett located?

Charles Burkett practices at 515 Pacific Ave Ste 2, Audubon, IA 50025. The listed phone number is (712) 563-4611.

What is Charles Burkett's specialty?

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

Is Charles Burkett enrolled in Medicare?

Yes. Charles Burkett 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.

Which organizations bill Medicare for Charles Burkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Burkett reassigns Medicare benefits to 5 organizations: Physicians Clinic Inc (Omaha, NE), Unmc Physicians (Omaha, NE), Teledigm Physician Services, LLC (Lincoln, NE), Grand Island Regional Medical Center (Grand Island, NE) and Bryan Hospital Kearney (Kearney, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Burkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Burkett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Wellmark Health Plan of Iowa, Inc. list Charles Burkett 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 Charles Burkett affiliated with any hospitals?

According to CMS data, Charles Burkett is affiliated with The Nebraska Methodist Hospital and Methodist Fremont Health.

When was this NPI record last updated?

The NPPES record for Charles Burkett was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.