DR. JOHN MICHAEL BURNHEIMER II DMD
NPI 1568024925
Dentist - General Practice in Pittsburgh, PA

Active since July 05, 2019PECOS Enrolled
816 MIDDLE ST, PITTSBURGH, PA 15212(412) 321-4001 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, Aug 23, 2022, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Dr. John Michael Burnheimer Ii Dmd NPPES

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

DR. JOHN MICHAEL BURNHEIMER II DMD (NPI 1568024925) is an individual general practice provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (DS042368) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568024925
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN MICHAEL BURNHEIMER IICredential: DMD
Location Address816 MIDDLE STPittsburgh, PA 15212-4915
Mailing Address816 Middle StPittsburgh, PA 15212-4915
Sole ProprietorYes
Enumeration DateJuly 5, 2019
Last NPPES UpdateNovember 14, 20254 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1568024925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS042368
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
816 MIDDLE ST, Pittsburgh, PA 15212

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Michael Burnheimer Ii Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show John Burnheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
943 FOURTH AVENUE
New Kensington, PA 15068
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Family Medicine
816 MIDDLE ST
PITTSBURGH, PA 15212
Family Medicine
816 MIDDLE ST
PITTSBURGH, PA 15212
Family Medicine
816 MIDDLE ST
PITTSBURGH, PA 15212
Dentist
816 MIDDLE ST
PITTSBURGH, PA 15212
Dental Hygienist
816 MIDDLE ST
PITTSBURGH, PA 15212
Family Medicine
816 MIDDLE ST
PITTSBURGH, PA 15212
Counselor (Professional)
816 MIDDLE ST
PITTSBURGH, PA 15212
Nurse Practitioner (Family)
816 MIDDLE ST
PITTSBURGH, PA 15212

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 John Burnheimer's NPI number?

The NPI number for John Burnheimer is 1568024925. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is John Burnheimer located?

John Burnheimer practices at 816 Middle St, Pittsburgh, PA 15212. The listed phone number is (412) 321-4001.

What is John Burnheimer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Burnheimer enrolled in Medicare?

Yes. John Burnheimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Burnheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Burnheimer reassigns Medicare benefits to Community Health Clinic, Inc. (New Kensington, PA). The 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 John Burnheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Burnheimer accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 6 other insurers list John Burnheimer 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.

When was this NPI record last updated?

The NPPES record for John Burnheimer was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.