DR. KEVIN M BURKE M.D.
NPI 1821325804
Otolaryngology in Portland, ME

Active since November 11, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
43 BAXTER BLVD, PORTLAND, ME 04101(207) 775-6381 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kevin M Burke M.d. NPPES

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

DR. KEVIN M BURKE M.D. (NPI 1821325804) is an individual otolaryngology provider in Portland, Maine, licensed in California (A111528) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Georgetown University School Of Medicine (2008).

NPPES Registry Identity

NPI1821325804
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEVIN M BURKECredential: M.D.
Location Address43 BAXTER BLVDPortland, ME 04101-1823
Mailing Address43 Baxter BlvdPortland, ME 04101-1823
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2008
Enumeration DateNovember 11, 2009
Last NPPES UpdateJuly 11, 2013
NPI 1821325804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A111528
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

43 BAXTER BLVD, Portland, ME 04101

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

Dr. Kevin M 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 ID5496981441
PECOS Enrollment IDI20131121000262
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
166 services92 patients
New patient office or other outpatient visit, 45-59 minutes 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.
51 services51 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
49 services39 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
31 services29 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services23 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Otolaryngology (Plastic Surgery within the Head & Neck)
43 BAXTER BLVD
PORTLAND, ME 04101
Otolaryngology (Plastic Surgery within the Head & Neck)
43 BAXTER BLVD
PORTLAND, ME 04101
Physical Therapist
43 BAXTER BLVD
PORTLAND, ME 04101
Physical Therapist
43 BAXTER BLVD
PORTLAND, ME 04101
Audiologist
43 BAXTER BLVD
PORTLAND, ME 04101
Audiologist
43 BAXTER BLVD
PORTLAND, ME 04101
Occupational Therapist (Neurorehabilitation)
43 BAXTER BLVD
PORTLAND, ME 04101
Speech-Language Pathologist
43 BAXTER BLVD
PORTLAND, ME 04101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821325804, enumerated as an "individual" on November 11, 2009.

The provider is located at 43 BAXTER BLVD PORTLAND, ME 04101 and the phone number is (207) 775-6381.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.

Kevin Burke is affiliated with: MAINE MEDICAL CENTER.