SHARON BURGERT
NPI 1720535198
Nurse Practitioner - Primary Care in Erie, PA

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
4108 ZUCK RD, ERIE, PA 16506(814) 877-5333(814) 877-5329 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Jul 19, 2022, May 24, 2021 and 1 more (4 updates tracked since 2016).

About Sharon Burgert NPPES

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

SHARON BURGERT (NPI 1720535198) is an individual primary care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP016485) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720535198
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHARON BURGERT
Location Address4108 ZUCK RDErie, PA 16506-4539
Mailing Address4108 Zuck RdErie, PA 16506-4539 · (814) 877-5333 · Fax (814) 877-5329
Fax(814) 877-5329
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 2, 2016
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1720535198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP016485
4108 ZUCK RD, Erie, PA 16506

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

Sharon Burgert 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 ID143517557
PECOS Enrollment IDI20170113001339
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

2

Medicare enrollment records show Sharon Burgert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
Hematology & Oncology
5115 CENTRE AVE, 3RD FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 202 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.

Areas of Expertise CMS Part B claims 5

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.
122 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 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.
23 services21 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Other Providers at the Same Location NPPES 18

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

Family Medicine
4108 ZUCK RD
ERIE, PA 16506
Internal Medicine
4108 ZUCK RD
ERIE, PA 16506
Specialist
4108 ZUCK RD
ERIE, PA 16506
Physical Therapist
4108 ZUCK RD
ERIE, PA 16506
Psychologist
4108 ZUCK RD
ERIE, PA 16506
Physical Therapist
4108 ZUCK RD
ERIE, PA 16506
Chiropractor
4108 ZUCK RD
ERIE, PA 16506
Family Medicine
4108 ZUCK RD
ERIE, PA 16506

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 Sharon Burgert's NPI number?

The NPI number for Sharon Burgert is 1720535198. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Sharon Burgert located?

Sharon Burgert practices at 4108 Zuck Rd, Erie, PA 16506. The listed phone number is (814) 877-5333.

What is Sharon Burgert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sharon Burgert enrolled in Medicare?

Yes. Sharon Burgert 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 Sharon Burgert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Burgert reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Oncology Hematology Association Inc (Pittsburgh, PA). 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 Sharon Burgert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sharon Burgert was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.