DR. ANDREW CHARLES BURG (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1366523805
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDREW CHARLES BURG (M.D.)
20505 CRESCENT BAY DR
LAKE FOREST, CA 926308825
Phone: (714) 726-9565
Type: Mailing
18102, Sky Park South, Koll Airport Business Center, Irvine Business Complex, Irvine, Orange County, California, 92614, United States
BLDG 52, SUITE E
IRVINE, CA 92614
Phone: (949) 371-2018
Fax: (866) 811-6386
Type: Mailing
Saint Mary Medical Center Long Beach, 1050, Linden Avenue, Long Beach, Los Angeles County, California, 90813, United States
DEPARTMENT OF PATHOLOGY
LONG BEACH, CA 908133321
Phone: (562) 491-9755
Fax: (562) 491-7975
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-11
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031211000447 | I | Pathology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92630)
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