SHEA BURKETT MD
NPI 1801479944
Family Medicine in Athens, TX

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
117 MEDICAL CIR, ATHENS, TX 75751(903) 675-3200 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Jul 31, 2024, May 5, 2021 (3 updates tracked since 2021).

About Shea Burkett Md NPPES

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

SHEA BURKETT MD (NPI 1801479944) is an individual family medicine provider in Athens, Texas, licensed in Texas (U7394) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).

NPPES Registry Identity

NPI1801479944
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEA BURKETTCredential: MD
Location Address117 MEDICAL CIRAthens, TX 75751-9003
Mailing Address117 Medical CirAthens, TX 75751-9003 · (903) 675-3200
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1801479944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · U7394
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.

117 MEDICAL CIR, Athens, TX 75751

Accepted 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

Shea Burkett 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 ID8729497144
PECOS Enrollment IDI20240821004442
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

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.
30 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 14

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

Family Medicine
117 MEDICAL CIR
ATHENS, TX 75751
Nurse Practitioner (Family)
117 MEDICAL CIR
ATHENS, TX 75751
Internal Medicine
117 MEDICAL CIR
ATHENS, TX 75751
Family Medicine
117 MEDICAL CIR
ATHENS, TX 75751
Family Medicine
117 MEDICAL CIR
ATHENS, TX 75751
Nurse Practitioner (Family)
117 MEDICAL CIR
ATHENS, TX 75751
Family Medicine
117 MEDICAL CIR
ATHENS, TX 75751
Nurse Practitioner (Family)
117 MEDICAL CIR
ATHENS, TX 75751

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 Shea Burkett's NPI number?

The NPI number for Shea Burkett is 1801479944. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Shea Burkett located?

Shea Burkett practices at 117 Medical Cir, Athens, TX 75751. The listed phone number is (903) 675-3200.

What is Shea Burkett's specialty?

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

Is Shea Burkett enrolled in Medicare?

Yes. Shea Burkett 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 Shea Burkett accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shea Burkett 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 Shea Burkett affiliated with any hospitals?

According to CMS data, Shea Burkett is affiliated with Ut Health East Texas Tyler Regional Hospital and Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Shea Burkett was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.