JACK B BURGER – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1356019715

JACK B BURGER is a healthcare provider. based in Grand junction, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.0008010 (CO). The NPI Number for JACK B BURGER is 1356019715

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JACK B BURGER
NPI
1356019715
Phone
(970) 819-9581
Address
1100 NORTH AVE
Enumeration Date
1 September 2021
Last Update Date
8 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4981050317
Group Practice PAC ID
1850294778
Professional Enrollment ID
I20231021000070
Address ID
CO816217403BA350XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for JACK B BURGER

  • 1100 NORTH AVE

    GRAND JUNCTION, CO 815013122

    Phone: (970) 819-9581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $453.

Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Getinge USA Sales, LLC ($415).

Total Amount

$453

General + Research + Ownership

Payments

5

Total payment records

General Amount

$453

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-21

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231021000070IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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 81501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850294778View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
Physician AssistantUT
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
-CO
Thoracic SurgeryID
-CO
Cardiovascular Disease (Cardiology)CO
-CO
U R O L O G YCO
-CO

Reviews

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Frequently asked questions

What identifier follows JACK B BURGER across health systems?
The NPI 1356019715 uniquely identifies JACK B BURGER in U.S. healthcare data.
Is JACK B BURGER's NPI status active today?
Active status means JACK B BURGER's NPI record is not deactivated in the public file.
What type of care does JACK B BURGER provide?
JACK B BURGER's profile centers on Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is JACK B BURGER tied to Grand Junction, Colorado?
If you are local to Grand Junction, Colorado, JACK B BURGER may be relevant to your search.
Why is information missing for JACK B BURGER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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