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DR. MATTHEW STEPHEN BURGE MD
NPI 1902169808
Surgery in Prattville, AL

Active since June 17, 2012PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
645 MCQUEEN SMITH RD N STE 300, PRATTVILLE, AL 36066(334) 747-2999(334) 747-7276 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2023, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Matthew Stephen Burge Md NPPES

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

DR. MATTHEW STEPHEN BURGE MD (NPI 1902169808) is an individual surgery provider in Prattville, Alabama, licensed in Alabama (MD.36181) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of University Of Alabama School Of Medicine (2012).

NPPES Registry Identity

NPI1902169808
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW STEPHEN BURGECredential: MD
Location Address645 MCQUEEN SMITH RD N STE 300Prattville, AL 36066-7269
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Phone(334) 747-2999
Fax(334) 747-7276
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2012
Enumeration DateJune 17, 2012
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1902169808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · MD.36181
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
645 MCQUEEN SMITH RD N STE 300, Prattville, AL 36066
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Secondary Practice Location 1

Location 12055 E South Blvd Ste 601Montgomery, AL 36116-2014 · Phone (334) 747-2999 · Fax (334) 747-7276

Other Identifiers 10

Other102I936812AL · Medicare
Medicaid204557AL
Other511-97736AL · Bcbs Of Alabama
Other1902169808Npi
OtherP01919417AL · Railroad Medicare
Other8841312AL · Cigna
Other511-96290AL · Bcbs Of Alabama
OtherZ39181AL · Viva Health
Medicaid204555AL
OtherZ39181Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

Dr. Matthew Stephen 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 ID8224310529
PECOS Enrollment IDI20171023001151
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 Matthew Burge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
13 mi
Neurology
4225 NARROW LANE ROAD
Montgomery, AL 36111
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1952609505 (334) 281-7299

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.

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.
36 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
35 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services19 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.
21 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

e-Prescribing
100%30 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%128 patients4/55-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

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

SARA ELLEN NELSON DO
Surgery
645 MCQUEEN SMITH RD N STE 300
PRATTVILLE, AL 36066
Autauga County (334) 747-2999

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 Matthew Burge's NPI number?

The NPI number for Matthew Burge is 1902169808. It was assigned to this individual provider in the NPPES registry on June 17, 2012.

Where is Matthew Burge located?

Matthew Burge practices at 645 Mcqueen Smith Rd N Ste 300, Prattville, AL 36066. The listed phone number is (334) 747-2999.

What is Matthew Burge's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Burge enrolled in Medicare?

Yes. Matthew 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.

Which organization bills Medicare for Matthew Burge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Burge reassigns Medicare benefits to The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL). 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 Matthew Burge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Burge accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Matthew 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 Matthew Burge was last updated on January 11, 2023. 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.