DR. THOMAS ANDREW BURKHEAD M.D.
NPI 1780110601
Internal Medicine - Infectious Disease in Cincinnati, OH

Q: What is Thomas Burkhead's NPI number?

The NPI number for Thomas Burkhead is 1780110601. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Thomas Burkhead's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Burkhead was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 11, 2017PECOS EnrolledAccepts Medicare Assignment

85.49/100

CMS Quality Rating

2123 AUBURN AVE STE A44, CINCINNATI, OH 45219(513) 585-2791(513) 585-3882 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, May 11, 2017 (2 updates tracked since 2017).

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About Dr. Thomas Andrew Burkhead M.d. NPPES

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

DR. THOMAS ANDREW BURKHEAD M.D. (NPI 1780110601) is an individual infectious disease provider in Cincinnati, Ohio, licensed in Ohio (35.136385) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1780110601

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. THOMAS ANDREW BURKHEADCredential: M.D.

Location Address2123 AUBURN AVE STE A44Cincinnati, OH 45219-2906

Mailing Address2123 Auburn Ave Ste A44Cincinnati, OH 45219-2906 · (513) 585-2791 · Fax (513) 585-3882

Phone(513) 585-2791

Fax(513) 585-3882

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1780110601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in OH · 35.136385✔ Licensed in KY · 56601

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 56601 (KY)

2123 AUBURN AVE STE A44, Cincinnati, OH 45219

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Secondary Practice Location 1

Location 11850 Bluegrass AveLouisville, KY 40215-1161 · Phone (502) 367-3360

Other Identifiers 1

Medicaid7100860860KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Dr. Thomas Andrew Burkhead M.d. 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 ID2365712833

PECOS Enrollment IDI20250616003284

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 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.

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.

206 services60 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.

60 services51 patients

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.

31 services15 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.

26 services16 patients

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.

24 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

85.49/100

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

Scored as part of a group practice

Quality

91.06

Promoting Interoperability

100

Improvement Activities

Cost

60.59

Other Providers at the Same Location NPPES 6

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

KYLE BRIZENDINE MD