DR. BILLY CARLTON BURGE MD
NPI 1881709517
Family Medicine in Saco, ME

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
655 MAIN ST, SACO, ME 04072(207) 602-3571(207) 602-3573 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Billy Carlton Burge Md NPPES

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

DR. BILLY CARLTON BURGE MD (NPI 1881709517) is an individual family medicine provider in Saco, Maine, licensed in Texas (J7313) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1988).

NPPES Registry Identity

NPI1881709517
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BILLY CARLTON BURGECredential: MD
Location Address655 MAIN STSaco, ME 04072-1543
Mailing AddressPo Box 284Brattleboro, VT 05302-0284 · (207) 602-3571 · Fax (207) 602-3573
Fax(207) 602-3573
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1988
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 9, 2013
NPI 1881709517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J7313
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.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License J7313 (TX)
Also ListedEmergency MedicineTaxonomy 207P00000X · License J7313 (TX)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License J7313 (TX)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License J7313 (TX)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License J7313 (TX)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License J7313 (TX)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License J7313 (TX)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License J7313 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License J7313 (TX)
Also ListedLegal MedicineTaxonomy 209800000X · License J7313 (TX)
655 MAIN ST, Saco, ME 04072

Other Identifiers 3

Medicare UPINF95346TX
MedicaidP081082J4TX
Medicare ID-Type Unspecified611029TX · Medicare

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. Billy Carlton Burge 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 ID8224011036
PECOS Enrollment IDI20130807000989
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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
19 services14 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04072 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%57 patients5/55-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.

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.

Nurse Practitioner (Family)
655 MAIN ST
SACO, ME 04072
Nurse Practitioner (Adult Health)
655 MAIN ST
SACO, ME 04072
Pediatrics
655 MAIN ST
SACO, ME 04072
Neuromusculoskeletal Medicine & OMM
655 MAIN ST
SACO, ME 04072
General Practice
655 MAIN ST, VA CLINIC
SACO, ME 04072
Internal Medicine
655 MAIN ST
SACO, ME 04072
Clinic/Center (Urgent Care)
655 MAIN ST
SACO, ME 04072
Neuromusculoskeletal Medicine & OMM
655 MAIN ST
SACO, ME 04072

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 Billy Burge's NPI number?

The NPI number for Billy Burge is 1881709517. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Billy Burge located?

Billy Burge practices at 655 Main St, Saco, ME 04072. The listed phone number is (207) 602-3571.

What is Billy Burge's specialty?

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

Is Billy Burge enrolled in Medicare?

Yes. Billy Burge 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 Billy Burge accept?

Health plans from Blue Cross and Blue Shield of Texas list Billy Burge 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.

When was this NPI record last updated?

The NPPES record for Billy Burge was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.