DR. MARY SIMMONS BURGESS M.D.
NPI 1861519787
Family Medicine in Casselberry, FL

Q: What is Mary Burgess's NPI number?

The NPI number for Mary Burgess is 1861519787. It was assigned to this individual provider in the NPPES registry on March 24, 2007.

Q: What is Mary Burgess's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Burgess was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2007PECOS Enrolled

985 STATE ROAD 436, CASSELBERRY, FL 32707(407) 831-5252(407) 831-3765 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2022, May 18, 2020, Aug 14, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Mary Simmons Burgess M.d. NPPES

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

DR. MARY SIMMONS BURGESS M.D. (NPI 1861519787) is an individual family medicine provider in Casselberry, Florida, licensed in Florida (ME131365) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861519787

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY SIMMONS BURGESSCredential: M.D.

Location Address985 STATE ROAD 436Casselberry, FL 32707-5664

Mailing Address985 State Road 436Casselberry, FL 32707-5664 · (407) 831-5252 · Fax (407) 831-3765

Phone(407) 831-5252

Fax(407) 831-3765

Sole ProprietorYes

Enumeration DateMarch 24, 2007

Last NPPES UpdateDecember 5, 20224 updates tracked since enumeration

NPPES CertifiedDecember 5, 2022

✔ NPI 1861519787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME131365

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.

985 STATE ROAD 436, Casselberry, FL 32707

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Simmons Burgess M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerwell Senior Primary Care (nc) PC

456 mi

Internal Medicine

2910 E FRANKLIN BLVD, 1
Gastonia, NC 28056

Reassigned Medicare billing, North Carolina enrollment
67 clinicians in this Medicare group

NPI 1073034625 (704) 648-0460

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

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.

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32707 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

SAMANTHA JANE FIGUEIRAS APRN

Nurse Practitioner (Gerontology)