Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DORI ROBIN BURKE MD
NPI 1922012160
Family Medicine in Lebanon, OH

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
650 HARBOR DR, LEBANON, OH 45036(937) 474-1906 Get Directions Write a Review

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

Record update history: Sep 5, 2026, Oct 13, 2022, Oct 27, 2020 and 1 more (4 updates tracked since 2019).

About Dori Robin Burke Md NPPES

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

DORI ROBIN BURKE MD (NPI 1922012160) is an individual family medicine provider in Lebanon, Ohio, licensed in Ohio (35077931) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of University Of Kentucky College Of Medicine (1998).

NPPES Registry Identity

NPI1922012160
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDORI ROBIN BURKECredential: MD
Location Address650 HARBOR DRLebanon, OH 45036-2706
Mailing Address650 Harbor DrLebanon, OH 45036-2706 · (937) 474-1906
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1998
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 5, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2026
✔ NPI 1922012160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35077931
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.
650 HARBOR DR, Lebanon, OH 45036

Other Identifiers 2

Other35077931OH · Oh Medical License
Medicaid2274702OH

Accepted 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

Dori Robin Burke 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 ID3476683632
PECOS Enrollment IDI20100615000008
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 Reassignments

2

Medicare enrollment records show Dori Burke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
Internal Medicine
1395 NW 167TH ST
Miami, FL 33169
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45036 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
59%140 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
77%191 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%215 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%91 patients3/55-star benchmark: 98%
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.

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 Dori Burke's NPI number?

The NPI number for Dori Burke is 1922012160. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Dori Burke located?

Dori Burke practices at 650 Harbor Dr, Lebanon, OH 45036. The listed phone number is (937) 474-1906.

What is Dori Burke's specialty?

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

Is Dori Burke enrolled in Medicare?

Yes. Dori 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.

Which organizations bill Medicare for Dori Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dori Burke reassigns Medicare benefits to 2 organizations: The Cleveland Clinic Foundation (Avon, OH) and Dedicated Ohio Holding LLC (Miami, FL). Each 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 Dori Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dori Burke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Insurance Corporation of Ohio list Dori 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 Dori Burke affiliated with any hospitals?

According to CMS data, Dori Burke is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Dori Burke was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.