MRS. CRISTY J BURGHARDT (PA-C) – Medical Physician Assistant, NPI 1407281108
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. CRISTY J BURGHARDT (PA-C)
3000 OLD CENTRE RD
PORTAGE, MI 490244883
Phone: (269) 321-7546
Fax: (269) 341-7883
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 123 Open Payments records for all available years, with a total value of $2,884.
Total Amount is formed as General ($2,884) + Research ($0) + Ownership ($0) = $2,884.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($483).
Total Amount
$2,884
General + Research + Ownership
Payments
123
Total payment records
General Amount
$2,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $483 |
| ABBVIE INC. | $417 |
| UCB, Inc. | $200 |
| Janssen Biotech, Inc. | $147 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $141 |
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: 2013-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131212001460 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,003 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 402 | 355 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 213 | 192 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 136 | 127 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 118 | 115 | $0 |
Insurance plans in this area (ZIP 49024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Dermatology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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