JAMES S BURKE JR. M.D.
NPI 1841292703
Orthopaedic Surgery in Saint Louis, MO

Q: What is James Burke's NPI number?

The NPI number for James Burke is 1841292703. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is James Burke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Burke was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment

88.91/100

CMS Quality Rating

1050 OLD DES PERES RD, SUITE 100, SAINT LOUIS, MO 63131(314) 569-0612(314) 966-0664 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2021, Mar 15, 2021 (2 updates tracked since 2021).

On this page

About James S Burke Jr. M.d. NPPES

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

JAMES S BURKE JR. M.D. (NPI 1841292703) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (R7N93) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1989).

NPPES Registry Identity

NPI1841292703

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJAMES S BURKE JR.Credential: M.D.

Location Address1050 OLD DES PERES RD, SUITE 100Saint Louis, MO 63131-1873

Mailing Address1050 Old Des Peres Rd, Suite 100Saint Louis, MO 63131-1873 · (314) 569-0612 · Fax (314) 966-0664

Phone(314) 569-0612

Fax(314) 966-0664

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1989

Enumeration DateAugust 11, 2005

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1841292703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MO · R7N93

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1050 OLD DES PERES RD, Saint Louis, MO 63131

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Other Identifiers 7

Other63352MO · Coventry

Other0900195MO · United Healthcare

Other200040327MO · Medicare Railroad

Other274019MO · Healthlink

Other16727MO · Anthem

Other4633698MO · Aetna

Other9168280MO · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

James S Burke Jr. 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 ID4183647340

PECOS Enrollment IDI20100521000227

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 15

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.

171 services124 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

103 services92 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

80 services73 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

79 services79 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

71 services68 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

62 services40 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.

50 services49 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

45 services40 patients

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.

41 services40 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

32 services12 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services13 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.

16 services16 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

14 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260163

Location1101 W LibertyFarmington, MO 63640 · St. Francois County

Emergency services Birthing friendly

Madison Medical Center

Critical Access Hospitals · Fredericktown, MO

OwnershipVoluntary non-profit - Other

CMS Certification Number261302

Location611 W Main StFredericktown, MO 63645 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

88.91/100

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

Scored as part of a group practice

Quality

77.82

Improvement Activities

Leave this field empty

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.

MR. BRIAN WILLIAM BRADLEY P.T.

Physical Therapist

1050 OLD DES PERES RD, SUITE 40
SAINT LOUIS, MO 63131

St. Louis County (314) 821-0200

ANGELA GRAINGER GAUTHIER

Physician Assistant

1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131

St. Louis County (314) 569-0612

MRS. CHRISTY DOW M.A. OTR/L

Occupational Therapist (Pediatrics)

1050 OLD DES PERES RD, SUITE 40
SAINT LOUIS, MO 63131

St. Louis County (314) 821-0200

DES PERES SQUARE IMAGING CENTER LLC

Clinic/Center (Magnetic Resonance Imaging (MRI))

1050 OLD DES PERES RD, SUITE 75
SAINT LOUIS, MO 63131

St. Louis County (314) 569-2412

WILLIAM FEINSTEIN M.D.

Orthopaedic Surgery (Hand Surgery)

1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131

St. Louis County (314) 569-0612

ORTHOPEDIC & SPORTS MEDICINE EQUIPMENT & SUPPLY L L C

Durable Medical Equipment & Medical Supplies

1050 OLD DES PERES RD, SUITE 60
SAINT LOUIS, MO 63131

St. Louis County (314) 878-7030

MR. JEFFREY T PELIZZARO MPT

Physical Therapist (Orthopedic)

1050 OLD DES PERES RD, SUITE 40
ST LOUIS, MO 63131

St. Louis County (314) 821-0200

ROBERT KRAMER M.D.

Orthopaedic Surgery

1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131

St. Louis County (314) 569-0612

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 James Burke's NPI number?

The NPI number for James Burke is 1841292703. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is James Burke located?

James Burke practices at 1050 Old Des Peres Rd Suite 100, Saint Louis, MO 63131. The listed phone number is (314) 569-0612.

What is James Burke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Burke enrolled in Medicare?

Yes. James 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 James Burke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list James 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 James Burke affiliated with any hospitals?

According to CMS data, James Burke is affiliated with Ssm St Clare Health Center, Missouri Baptist Medical Center, Parkland Health Center and Madison Medical Center.

When was this NPI record last updated?

The NPPES record for James Burke was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.