DR. JOHN MICHAEL BURBIDGE DO
NPI 1841277639
Family Medicine in Waco, TX

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
105 OLD HEWITT RD STE 100, WACO, TX 76712(254) 772-7300(254) 772-7351 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Michael Burbidge Do NPPES

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

DR. JOHN MICHAEL BURBIDGE DO (NPI 1841277639) is an individual family medicine provider in Waco, Texas, licensed in Texas (K8719) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1997).

NPPES Registry Identity

NPI1841277639
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN MICHAEL BURBIDGECredential: DO
Location Address105 OLD HEWITT RD STE 100Waco, TX 76712-6565
Mailing AddressPo Box 20308Waco, TX 76702-0308 · (254) 772-7300 · Fax (254) 772-7351
Fax(254) 772-7351
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1997
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 5, 2010
NPI 1841277639 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 · K8719
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.
105 OLD HEWITT RD STE 100, Waco, TX 76712

Other Identifiers 7

Medicare ID-Type Unspecified8A0418TX
Other8K4522TX · Medicare
Medicare UPINH72168TX
Other8AV860TX · Bcbs
OtherP00603036TX · Medicare Railroad
Medicaid155492501TX
Medicaid155492505TX

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. John Michael Burbidge Do 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 ID4082602834
PECOS Enrollment IDI20040503000453
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 17

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.
437 services197 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
378 services195 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
103 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
84 services80 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
84 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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.

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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%129 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
75%32 patients2/55-star benchmark: 100%
Advance Care Plan
75%521 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
24%25 patients1/55-star benchmark: 100%
Breast Cancer Screening
65%269 patients3/55-star benchmark: 93%
Cervical Cancer Screening
38%243 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
11%54 patients
Closing the Referral Loop: Receipt of Specialist Report
44%551 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
77%715 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
79%583 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%20 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
5%250 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
4%255 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%255 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,629 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
65%514 patients3/55-star benchmark: 100%
HIV Screening
11%901 patients1/55-star benchmark: 60%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
9%23 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%1,316 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
59%885 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%1,105 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,227 patients
Patients screened: 98% · 1,227 patients
86%190 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 27% · 1,047 patients
Patients screened: 30% · 1,047 patients
3%31 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
22%203 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%445 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 529 patients
Patients totalRate: 16% · 541 patients
14%541 patients3/55-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 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims45 services$6.23 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers16 claims16 services$33.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$52.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers13 claims78 services$2.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers29 claims29 services$6.78 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
5 suppliers34 claims34 services$86.75 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

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

Family Medicine
105 OLD HEWITT RD STE 100
WACO, TX 76712

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 John Burbidge's NPI number?

The NPI number for John Burbidge is 1841277639. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is John Burbidge located?

John Burbidge practices at 105 Old Hewitt Rd Ste 100, Waco, TX 76712. The listed phone number is (254) 772-7300.

What is John Burbidge's specialty?

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

Is John Burbidge enrolled in Medicare?

Yes. John Burbidge 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 John Burbidge accept?

Health plans from Blue Cross and Blue Shield of Texas list John Burbidge 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 John Burbidge affiliated with any hospitals?

According to CMS data, John Burbidge is affiliated with Ascension Providence and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for John Burbidge was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.