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ANDREW BURLESON MD
NPI 1932840774
Family Medicine in Madisonville, TX

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
100 W CROSS ST, MADISONVILLE, TX 77864(936) 348-2631 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Andrew Burleson Md NPPES

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

ANDREW BURLESON MD (NPI 1932840774) is an individual family medicine provider in Madisonville, Texas, licensed in Texas (U6208) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains a secondary practice location in Bryan.

NPPES Registry Identity

NPI1932840774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW BURLESONCredential: MD
Location Address100 W CROSS STMadisonville, TX 77864-2432
Mailing Address2900 E 29th StBryan, TX 77802-2622
Phone(936) 348-2631
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1932840774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · U6208
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.
100 W CROSS ST, Madisonville, TX 77864
Open in Google Maps ↗

Secondary Practice Location 1

Location 12900 E 29th StBryan, TX 77802-2622 · Phone (979) 436-0485

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Andrew Burleson 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 ID2860994332
PECOS Enrollment IDI20250904002084
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 Andrew Burleson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas A & m University System Health Science Center
32 mi
Family Medicine
2900 E 29TH ST STE 200
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1063699312 (979) 776-8440
Brazos Valley Emergency Physicians PA
39 mi
Emergency Medicine
210 S JUDSON ST
Navasota, TX 77868
  • Reassigned Medicare billing, Texas enrollment
  • 132 clinicians in this Medicare group
NPI 1982642955 (844) 474-4019

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 4

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Chi St Joseph Health Burleson Hospital

Critical Access Hospitals · Caldwell, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number451305
Location1101 Woodson DriveCaldwell, TX 77836 · Burleson County

Madison St Joseph Health Center

Critical Access Hospitals · Madisonville, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number451316
Location100 West Cross StreetMadisonville, TX 77864 · Madison County
Emergency services

Grimes St Joseph Health Center

Critical Access Hospitals · Navasota, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451322
Location210 Judson StNavasota, TX 77868 · Grimes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77864 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 14

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

MADISON ST JOSEPH HEALTH CENTER
Medicare Defined Swing Bed Unit
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
MR. THADEO GONZALES TRIVILEGIO ASCPI,CM
Technician, Pathology (Medical Laboratory)
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 349-1574
JOE W FRANKLIN M.D.
Emergency Medicine (Emergency Medical Services)
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
PETER VINCENT SULLIVAN M.D.
Emergency Medicine (Emergency Medical Services)
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
COMMONSPIRIT TEXAS
General Acute Care Hospital (Critical Access)
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
DR. DONALD G LITTLE MD
Emergency Medicine
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
MELISSA ANN MEYER MD
Emergency Medicine
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-2631
ST. JOSEPH REGIONAL HEALTH CENTER
Clinic/Center (Rural Health)
100 W CROSS ST
MADISONVILLE, TX 77864
Madison County (936) 348-3418

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 Andrew Burleson's NPI number?

The NPI number for Andrew Burleson is 1932840774. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Andrew Burleson located?

Andrew Burleson practices at 100 W Cross St, Madisonville, TX 77864. The listed phone number is (936) 348-2631.

What is Andrew Burleson's specialty?

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

Is Andrew Burleson enrolled in Medicare?

Yes. Andrew Burleson 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 Andrew Burleson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Burleson reassigns Medicare benefits to 2 organizations: Texas A & m University System Health Science Center (Bryan, TX) and Brazos Valley Emergency Physicians PA (Navasota, TX). 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 Andrew Burleson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Burleson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas and WellPoint list Andrew Burleson 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 Andrew Burleson affiliated with any hospitals?

According to CMS data, Andrew Burleson is affiliated with Chi St Joseph Health Regional Hospital, Chi St Joseph Health Burleson Hospital, Madison St Joseph Health Center and Grimes St Joseph Health Center.

When was this NPI record last updated?

The NPPES record for Andrew Burleson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.