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DOUGLAS R BURKA M.D.
NPI 1962666263
Surgery in Chevy Chase, MD

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
5530 WISONSIN AVE, SUITE 1455, CHEVY CHASE, MD 20815(301) 656-6700(301) 656-6700 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Jan 27, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Douglas R Burka M.d. NPPES

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

DOUGLAS R BURKA M.D. (NPI 1962666263) is an individual surgery provider in Chevy Chase, Maryland, licensed in District Of Columbia (MD037369) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of George Washington University School Of Medicine (2005).

NPPES Registry Identity

NPI1962666263
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOUGLAS R BURKACredential: M.D.
Location Address5530 WISONSIN AVE, SUITE 1455Chevy Chase, MD 20815
Mailing Address5530 Wisconsin Ave, Suite 1455Chevy Chase, MD 20815-4404 · (301) 656-6700 · Fax (301) 656-6701
Phone(301) 656-6700
Fax(301) 656-6700
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2005
Enumeration DateJuly 15, 2008
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1962666263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in DC · MD037369✔ Licensed in ME · MD19328✔ Licensed in MD · D0080365
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.
5530 WISONSIN AVE, Chevy Chase, MD 20815
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Other Identifiers 1

Medicaid1962666263ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.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

Douglas R Burka 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 ID9638235260
PECOS Enrollment IDI20090306000313, I20230316000857
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

3

Medicare enrollment records show Douglas Burka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Faculty Associates, Inc
4.9 mi
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
NPI 1417990581 (202) 741-3350
Foggy Bottom Physician Group Inc.
9.4 mi
Multi-Specialty
1200 PECAN ST SE
Washington, DC 20032
  • Reassigned Medicare billing, District of Columbia enrollment
  • 158 clinicians in this Medicare group
NPI 1831089846 (771) 444-6146
Upmc Western Maryland Health Services, LLC
100 mi
Dietitian, Registered
12501 WILLOWBROOK RD FL 2
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 318 clinicians in this Medicare group
NPI 1376302729 (240) 964-8425

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 2

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.

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.
26 services13 patients
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.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Douglas Burka's NPI number?

The NPI number for Douglas Burka is 1962666263. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Douglas Burka located?

Douglas Burka practices at 5530 Wisonsin Ave Suite 1455, Chevy Chase, MD 20815. The listed phone number is (301) 656-6700.

What is Douglas Burka's specialty?

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

Is Douglas Burka enrolled in Medicare?

Yes. Douglas Burka 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 Douglas Burka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Burka reassigns Medicare benefits to 3 organizations: Medical Faculty Associates, Inc (Washington, DC), Foggy Bottom Physician Group Inc. (Washington, DC) and Upmc Western Maryland Health Services, LLC (Cumberland, MD). 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 Douglas Burka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Burka accept?

Health plans from Aspirus Health Plan list Douglas Burka 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 Douglas Burka affiliated with any hospitals?

According to CMS data, Douglas Burka is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Burka was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.