CHARLES J BURCH MD
NPI 1831196559
Internal Medicine - Pulmonary Disease in San Antonio, TX

Q: What is Charles Burch's NPI number?

The NPI number for Charles Burch is 1831196559. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Charles Burch'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 Charles Burch was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment

64.61/100

CMS Quality Rating

21 SPURS LN, SUITE 230B, SAN ANTONIO, TX 78240(210) 690-7400(210) 957-6956 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Charles J Burch Md NPPES

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

CHARLES J BURCH MD (NPI 1831196559) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (K2657) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1996).

NPPES Registry Identity

NPI1831196559

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCHARLES J BURCHCredential: MD

Location Address21 SPURS LN, SUITE 230BSan Antonio, TX 78240-1669

Mailing Address4458 Medical Dr, Ste 505San Antonio, TX 78229-3748 · (210) 690-7400 · Fax (210) 957-6956

Phone(210) 690-7400

Fax(210) 957-6956

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1996

Enumeration DateJuly 7, 2005

Last NPPES UpdateOctober 31, 2018

✔ NPI 1831196559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · K2657

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.

Also ListedSpecialistTaxonomy 174400000X · License K2657 (TX)

21 SPURS LN, San Antonio, TX 78240

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Other Identifiers 3

Other0010KHTX · Blue Cross

Other8A7078TX · Medicare Legacy Number

Medicaid105831504TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles J Burch 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 ID648160671

PECOS Enrollment IDI20040316000166

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Burch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles J. Burch, M.D., P.A.

1.7 mi

Pulmonary Disease

4458 MEDICAL DR STE 505
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Charles J Burch, MD, PA
4 clinicians in this Medicare group

NPI 1588843239 (210) 690-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

377 services267 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.

297 services144 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

281 services96 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.

200 services171 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.

129 services120 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.

110 services101 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

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.

64.61/100

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

Individually scored

Quality

37.24

Promoting Interoperability

100

Improvement Activities

Cost

53.14

Reported Quality Measures

Colorectal Cancer Screening

0%75 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

96%228 patients4/55-star benchmark: 100%

e-Prescribing

99%406 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%145 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%213 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers31 claims119 services$17.71 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers35 claims35 services$32.06 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

2 suppliers14 claims560 services$2.45 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers11 claims190 services$4.31 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers32 claims32 services$72.04 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers29 claims84 services$28.59 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers22 claims22 services$14.92 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers38 claims206 services$1.74 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers19 claims19 services$11.21 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

2 suppliers11 claims140 services$3.10 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers19 claims19 services$12.51 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$43.79 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers14 claims14 services$917.01 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers15 claims15 services$3.32 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers19 claims20 services$31.37 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

8 suppliers165 claims165 services$61.37 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers127 claims127 services$29.98 avg. paid by Medicare

Injection, treprostinil, 1 mg J3285

Treatment-Injections and Infusions (nononcologic) · category RI026N

2 suppliers30 claims4,712 services$45.28 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers16 claims1,440 services$0.81 avg. paid by Medicare

Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686

DME-Drugs Administered Through DME · category DG004N

4 suppliers15 claims420 services$550.77 avg. paid by Medicare

Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) K0455

DME-Other DME · category DE000N

2 suppliers28 claims28 services$255.48 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

2 suppliers16 claims275 services$2.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$30.62 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers29 claims29 services$25.12 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.

DR. HECTOR URIEL LOPEZ M.D.

Family Medicine (Sports Medicine)

21 SPURS LN, STE 300
SAN ANTONIO, TX 78240

Bexar County (210) 699-8326

LESLIE DEHART NP

Nurse Practitioner

21 SPURS LN, STE 100
SAN ANTONIO, TX 78240

Bexar County (210) 614-6070

DR. CHARLES ROGER MACIAS JR. D.D.S.

Dentist (General Practice)

21 SPURS LN, SUITE 130
SAN ANTONIO, TX 78240

Bexar County (210) 614-2020

HAND REHABILATION ASSOCIATES OF

Durable Medical Equipment & Medical Supplies

21 SPURS LN, SUITE 320
SAN ANTONIO, TX 78240

Bexar County (210) 558-4263

JAIRO A. MELO, M.D., P.A.

Internal Medicine (Pulmonary Disease)

21 SPURS LN, SUITE 230B
SAN ANTONIO, TX 78240

Bexar County (210) 690-7400

DR. DAVID RICHARD SCHMIDT MD

Orthopaedic Surgery

21 SPURS LN, STE 300
SAN ANTONIO, TX 78240

Bexar County (210) 699-8326

DR. MARQUE ANTHONY ALLEN DPM

Podiatrist (Foot Surgery)

21 SPURS LN, STE 300
SAN ANTONIO, TX 78240

Bexar County (210) 699-8326

MRS. SARAH M KELTNER PA

Physician Assistant

21 SPURS LN, STE 100
SAN ANTONIO, TX 78240

Bexar County (210) 614-6070

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 Charles Burch's NPI number?

The NPI number for Charles Burch is 1831196559. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Charles Burch located?

Charles Burch practices at 21 Spurs Ln Suite 230B, San Antonio, TX 78240. The listed phone number is (210) 690-7400.

What is Charles Burch's specialty?

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

Is Charles Burch enrolled in Medicare?

Yes. Charles Burch 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.

Which organization bills Medicare for Charles Burch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Burch reassigns Medicare benefits to Charles J. Burch, M.D., P.A. (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Burch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Burch 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 4 other insurers list Charles Burch 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 Charles Burch affiliated with any hospitals?

According to CMS data, Charles Burch is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Charles Burch was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.