MR. MARK SAMUEL BURCH (PA-C) – Physician Assistant, NPI 1649692765
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for MR. MARK SAMUEL BURCH (PA-C)
145 Newcomb Ave
Mount Vernon, KY 404562728
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
111 Cynthia Dr Ste 139
Nicholasville, KY 403568062
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 405091886
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
101 Windsor Path
Georgetown, KY 403249617
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
850 Hail Knob Rd Ste B
Somerset, KY 425033418
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
250 S Main St Ste 224A
Blacksburg, VA 240604726
Phone: (540) 552-7133
Fax: (540) 342-2193
Type: Location
195 Commercial Dr
London, KY 407448234
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
250 S MAIN ST STE 224A
BLACKSBURG, VA 240604726
Phone: (540) 552-7133
Type: Mailing
1760 Harrodsburg Rd
Lexington, KY 405043602
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
1868 Plaudit Pl
Lexington, KY 405092429
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
3475 Blazer Pkwy
Lexington, KY 405091850
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
1350 Flemingsburg Rd
Morehead, KY 403511810
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
2045 Lantern Ridge Dr
Richmond, KY 404756010
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 405092513
Phone: (859) 263-5140
Fax: (859) 263-5141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,992.
Total Amount is formed as General ($1,992) + Research ($0) + Ownership ($0) = $1,992.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: SI-BONE, INC. ($1,580).
Total Amount
$1,992
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,992
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $1,580 |
| Pacira Pharmaceuticals Incorporated | $393 |
| DePuy Synthes Sales Inc. | $19 |
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: 2021-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140321000004 | I | Physician Assistant | WV | TBD |
| I20190814002494 | I | Physician Assistant | NC | TBD |
| I20210408002629 | I | Physician Assistant | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 277 | 46 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 81 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 64 | $0 |
| 73562 | X-ray of knee, 3 views | 42 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 40456)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY | |
| - | KY | |
| Physical Therapist In Private Practice | KY | |
| Physician Assistant | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY |
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