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MISS PATRICIA A BURKE MD PHD
NPI 1952410680
Ophthalmology in Paramus, NJ

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
90.91/100
CMS Quality Rating
1 SEARS DRIVE 4TH FL, PARAMUS, NJ 07652(201) 599-0123(201) 599-0934 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Patricia A Burke Md Phd NPPES

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

MISS PATRICIA A BURKE MD PHD (NPI 1952410680) is an individual ophthalmology provider in Paramus, New Jersey, licensed in New Jersey (MA056852) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Rutgers New Jersey Medical School (1986).

NPPES Registry Identity

NPI1952410680
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMISS PATRICIA A BURKECredential: MD PHD
Location Address1 SEARS DRIVE 4TH FLParamus, NJ 07652
Mailing Address1 Sears Drive 4th FlParamus, NJ 07652 · (201) 599-0123 · Fax (201) 599-0934
Phone(201) 599-0123
Fax(201) 599-0934
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1986
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 14, 2011
✔ NPI 1952410680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · MA056852
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1 SEARS DRIVE 4TH FL, Paramus, NJ 07652
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Other Identifiers 2

Medicare ID-Type UnspecifiedBU700421NJ
Medicare UPINE94661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana 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

Miss Patricia A Burke Md Phd 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 ID7618142860
PECOS Enrollment IDI20111216000157
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 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.

Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
607 services583 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
554 services525 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.
275 services196 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
122 services106 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
90 services90 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
78 services75 patients

Hospital Affiliations CMS Care Compare

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

90.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.43
Improvement Activities40
Cost70.77

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 Patricia Burke's NPI number?

The NPI number for Patricia Burke is 1952410680. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Patricia Burke located?

Patricia Burke practices at 1 Sears Drive 4th Fl, Paramus, NJ 07652. The listed phone number is (201) 599-0123.

What is Patricia Burke's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Patricia Burke enrolled in Medicare?

Yes. Patricia 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.

What insurance does Patricia Burke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Patricia 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 Patricia Burke affiliated with any hospitals?

According to CMS data, Patricia Burke is affiliated with Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Patricia Burke was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.