ELIZABETH SELF BURCKARDT MD
NPI 1588081749
Otolaryngology in Louisville, KY

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
96.34/100
CMS Quality Rating
6420 DUTCHMANS PKWY STE 380, LOUISVILLE, KY 40205(502) 894-8441(502) 894-4453 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2020, May 6, 2020, Dec 6, 2019 (3 updates tracked since 2019).

About Elizabeth Self Burckardt Md NPPES

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

ELIZABETH SELF BURCKARDT MD (NPI 1588081749) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (53577) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1588081749
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameELIZABETH SELF BURCKARDTCredential: MD
Location Address6420 DUTCHMANS PKWY STE 380Louisville, KY 40205-3355
Mailing Address6420 Dutchmans Pkwy, Ste 380Louisville, KY 40205-3355 · (502) 894-9753 · Fax (502) 371-0929
Fax(502) 894-4453
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateMay 19, 20203 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
NPI 1588081749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in KY · 53577
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6420 DUTCHMANS PKWY STE 380, Louisville, KY 40205

Other Names 1

Former Name (1)Elizbaeth Mary Self Md

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

Elizabeth Self Burckardt Md 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 ID8921336470
PECOS Enrollment IDI20200513002588
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 18

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.

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.
392 services220 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.
185 services185 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
181 services15 patients
Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies L8607
This procedure involves injecting a bulking agent into your vocal cords to help them close better, which can improve your voice quality. The 0.1 ml dosage includes all necessary supplies and shipping. It's a common treatment for voice disorders.
179 services13 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
171 services152 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.
128 services101 patients

Hospital Affiliations CMS Care Compare 5

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

96.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.68
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
59%589 patients3/55-star benchmark: 93%
Cervical Cancer Screening
44%721 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
91%927 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
57%1,165 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%5,175 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%852 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%2,154 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,280 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 814 patients
Patients screened: 74% · 814 patients
93%29 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Otolaryngology
6420 DUTCHMANS PKWY STE 380
LOUISVILLE, KY 40205
Otolaryngology
6420 DUTCHMANS PKWY STE 380
LOUISVILLE, KY 40205
Otolaryngology
6420 DUTCHMANS PKWY STE 380
LOUISVILLE, KY 40205
Otolaryngology
6420 DUTCHMANS PKWY STE 380
LOUISVILLE, KY 40205
Otolaryngology
6420 DUTCHMANS PKWY STE 380
LOUISVILLE, KY 40205

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 Elizabeth Burckardt's NPI number?

The NPI number for Elizabeth Burckardt is 1588081749. It was assigned to this individual provider in the NPPES registry on March 26, 2014. The provider is also known as Elizbaeth Mary Self MD.

Where is Elizabeth Burckardt located?

Elizabeth Burckardt practices at 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205. The listed phone number is (502) 894-8441.

What is Elizabeth Burckardt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Elizabeth Burckardt enrolled in Medicare?

Yes. Elizabeth Burckardt 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 Elizabeth Burckardt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Elizabeth Burckardt 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 Elizabeth Burckardt affiliated with any hospitals?

According to CMS data, Elizabeth Burckardt is affiliated with UofL Health - Shelbyville Hospital, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Burckardt was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.