LAUREN O BURKE MD
NPI 1659831709
Family Medicine in Louisville, KY

Q: What is Lauren Burke's NPI number?

The NPI number for Lauren Burke is 1659831709. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Lauren Burke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Burke was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

5100 OUTER LOOP, LOUISVILLE, KY 40219(502) 968-6226 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jun 22, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2019).

On this page

About Lauren O Burke Md NPPES

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

LAUREN O BURKE MD (NPI 1659831709) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (59970) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2017).

NPPES Registry Identity

NPI1659831709

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLAUREN O BURKECredential: MD

Location Address5100 OUTER LOOPLouisville, KY 40219-3023

Mailing AddressPo Box 909Louisville, KY 40201-0909

Phone(502) 968-6226

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2017

Enumeration DateMarch 24, 2019

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1659831709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 59970✔ Licensed in IN · 01087912A

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.

5100 OUTER LOOP, Louisville, KY 40219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Lauren O Burke 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 ID8022436088

PECOS Enrollment IDI20240930003324

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $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.

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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

1 supplier12 claims12 services$21.30 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

1 supplier12 claims12 services$119.41 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 11

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

SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC

Clinic/Center (Dental)

5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219

Jefferson County (502) 410-1702

ALEXANDER MUSSER

Dentist (Oral and Maxillofacial Surgery)

5100 OUTER LOOP
LOUISVILLE, KY 40219

Jefferson County (502) 966-8660

DR. MANEESH MOHAN DMD

Dentist (Oral and Maxillofacial Surgery)

5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219

Jefferson County (502) 966-8660

LISA KING M.D.

Family Medicine

5100 OUTER LOOP
LOUISVILLE, KY 40219

Jefferson County (502) 968-6226

MRS. CHARLA JAYNETTE FROMAN GLOVER ARNP

Nurse Practitioner (Family)

5100 OUTER LOOP
LOUISVILLE, KY 40219

Jefferson County (502) 968-6226

MARCELO ENRIQUE VENEGAS A.P.R.N.

Nurse Practitioner (Family)

5100 OUTER LOOP
LOUISVILLE, KY 40219

Jefferson County (502) 968-6226

MINA BEAR APRN-NP

Nurse Practitioner (Family)

5100 OUTER LOOP
LOUISVILLE, KY 40219

Jefferson County (502) 968-6226

PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC

Clinic/Center (Dental)

5100 OUTER LOOP, STE B
LOUISVILLE, KY 40219

Jefferson County (502) 966-8660

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 Lauren Burke's NPI number?

The NPI number for Lauren Burke is 1659831709. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Lauren Burke located?

Lauren Burke practices at 5100 Outer Loop, Louisville, KY 40219. The listed phone number is (502) 968-6226.

What is Lauren Burke's specialty?

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

Is Lauren Burke enrolled in Medicare?

Yes. Lauren 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 Lauren Burke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Burke was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.