ELENA BURKE M.D.
NPI 1790103604
Internal Medicine - Pulmonary Disease in Livingston, NJ

Q: What is Elena Burke's NPI number?

The NPI number for Elena Burke is 1790103604. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Q: What is Elena Burke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Elena Burke was last updated on April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2014PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5000 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2022, Jun 23, 2020 (2 updates tracked since 2020).

On this page

About Elena Burke M.d. NPPES

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

ELENA BURKE M.D. (NPI 1790103604) is an individual pulmonary disease provider in Livingston, New Jersey, licensed in New Jersey (25MA10796500) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Rutgers New Jersey Medical School (2014).

NPPES Registry Identity

NPI1790103604

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameELENA BURKECredential: M.D.

Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672

Mailing Address235 Millburn Ave Ste 101Millburn, NJ 07041-1711 · (973) 376-8034

Phone(973) 322-5000

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2014

Enumeration DateMarch 29, 2014

Last NPPES UpdateApril 28, 20222 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1790103604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NJ · 25MA10796500

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

94 OLD SHORT HILLS RD, Livingston, NJ 07039

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Elena Burke 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 ID7719302579

PECOS Enrollment IDI20200811000485

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 23

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 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.

183 services129 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.

138 services90 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

101 services100 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

87 services86 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.

79 services50 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

74 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

66 services42 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.

56 services56 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.

54 services54 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.

52 services41 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.

33 services33 patients

Test to examine how well the lungs exchange gases 94729

31 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

28 services28 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

23 services23 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

22 services22 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

21 services20 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

19 services18 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

18 services18 patients

Test for exercise-induced lung stress 94618

17 services17 patients

Test to determine lung volumes using gas dilution or washout 94727

17 services17 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

14 services14 patients

Test to measure expiratory airflow and volume 94010

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

93.71/100

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

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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 supplier11 claims11 services$14.04 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

4 suppliers26 claims26 services$59.96 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims16 services$29.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JACOB JOSEPH FERGUSON MD

Anesthesiology

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-5000

CASSIDY MARTIN DNP

Nurse Practitioner (Gerontology)

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-2793

HARRY S VANWAGENEN PA-C

Psychiatry & Neurology (Neurology)

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-5000

ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY

Specialist

94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039

Essex County (973) 322-9801

TERESITA C REDONDO MD

Pathology (Anatomic Pathology & Clinical Pathology)

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-5763

DR. GREGORY JOSEPH ROKOSZ D.O.

Emergency Medicine

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-5733

BILAL KHAN

Internal Medicine (Critical Care Medicine)

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (646) 591-5953

MRS. KATHERINE DANIELLE SZUCS APN

Nurse Practitioner

94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039

Essex County (973) 322-2249

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 Elena Burke's NPI number?

The NPI number for Elena Burke is 1790103604. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Where is Elena Burke located?

Elena Burke practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5000.

What is Elena Burke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Elena Burke enrolled in Medicare?

Yes. Elena 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 Elena Burke accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elena 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.

Is Elena Burke affiliated with any hospitals?

According to CMS data, Elena Burke is affiliated with Clara Maass Medical Center, Morristown Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Elena Burke was last updated on April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.