PHILIP JOSEPH BURKE MD
NPI 1740576487
Hospitalist in Clermont, FL

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
80.76/100
CMS Quality Rating
1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 536-8840(352) 536-8841 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Joseph Burke Md NPPES

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

PHILIP JOSEPH BURKE MD (NPI 1740576487) is an individual hospitalist provider in Clermont, Florida, licensed in Florida (ME120965) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1740576487
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePHILIP JOSEPH BURKECredential: MD
Location Address1900 DON WICKHAM DRClermont, FL 34711-1979
Mailing Address1900 Don Wickham DrClermont, FL 34711-1979 · (352) 536-8840 · Fax (352) 536-8841
Fax(352) 536-8841
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateApril 14, 2020
NPPES CertifiedApril 14, 2020
NPI 1740576487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME120965
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME120965 (FL)
1900 DON WICKHAM DR, Clermont, FL 34711

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

Philip Joseph 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 ID4486899465
PECOS Enrollment IDI20140908002401
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 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 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.
800 services302 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
315 services302 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
176 services169 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.
151 services148 patients
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.
67 services33 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

80.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Improvement Activities40
Cost62.49

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.

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
2 suppliers32 claims32 services$80.57 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$32.37 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 20

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

Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Nurse Practitioner (Pediatrics)
1900 DON WICKHAM DR
CLERMONT, FL 34711
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Pharmacist
1900 DON WICKHAM DR
CLERMONT, FL 34711
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Family Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711

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 Philip Burke's NPI number?

The NPI number for Philip Burke is 1740576487. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Philip Burke located?

Philip Burke practices at 1900 Don Wickham Dr, Clermont, FL 34711. The listed phone number is (352) 536-8840.

What is Philip Burke's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Philip Burke enrolled in Medicare?

Yes. Philip 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.

Is Philip Burke affiliated with any hospitals?

According to CMS data, Philip Burke is affiliated with Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Philip Burke was last updated on April 14, 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.