DR. BRIAN J BURKE M.D.
NPI 1942562939
Family Medicine in Toronto, OH

Q: What is Brian Burke's NPI number?

The NPI number for Brian Burke is 1942562939. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Q: What is Brian Burke'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 Brian Burke was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment

1800 FRANKLIN ST, TORONTO, OH 43964(740) 264-8781(740) 346-0091 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Feb 12, 2021, Aug 7, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Brian J Burke M.d. NPPES

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

DR. BRIAN J BURKE M.D. (NPI 1942562939) is an individual family medicine provider in Toronto, Ohio, licensed in Ohio (35.122072) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and maintains a secondary practice location in Saint Clairsville.

NPPES Registry Identity

NPI1942562939

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRIAN J BURKECredential: M.D.

Location Address1800 FRANKLIN STToronto, OH 43964-1949

Mailing Address1800 Franklin StToronto, OH 43964-1900 · (740) 264-8781 · Fax (740) 346-0091

Phone(740) 264-8781

Fax(740) 346-0091

Sole ProprietorYes

Medical School CMSToledo Medical CollegeGraduated 2012

Enumeration DateJune 14, 2012

Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1942562939 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 · 35.122072

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.

1800 FRANKLIN ST, Toronto, OH 43964

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Secondary Practice Location 1

Location 1109 Plaza DrSaint Clairsville, OH 43950-9773 · Phone (740) 695-2090 · Fax (740) 695-4116

Other Identifiers 3

Medicaid1040707860001PA

Medicaid0363091OH

Medicaid1942562939WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Brian J Burke M.d. 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 ID9931406097

PECOS Enrollment IDI20190903002976

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 3

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.

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.

176 services95 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

98 services98 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services26 patients

Hospital Affiliations CMS Care Compare

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360211

Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43964 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers13 claims32 services$5.41 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims49 services$2.25 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers25 claims25 services$14.74 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers30 claims30 services$42.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

DR. MARTIN GERHARD OWEN MD

Family Medicine