DAVID EDWIN BURDETTE (MD) – Epilepsy Physician, NPI 1679648315

DAVID EDWIN BURDETTE (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in NEUROLOGY, NEUROPSYCHIATRY. They hold the professional credentials MD. They hold a License No. 4301056700 (MI). The NPI Number for DAVID EDWIN BURDETTE (MD) is 1679648315

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DAVID EDWIN BURDETTE (MD)
NPI
1679648315
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
21 November 2006
Last Update Date
13 December 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6168855000
Graduation Year
1986 (40 years ago)
PAC ID
2264577451
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20100226000069
Address ID
MI495062921GR1840XSEXX403
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Secure Messaging
dburdette103969@epic00.shdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

965 NEUROLOGY in MI

Provider Addresses for DAVID EDWIN BURDETTE (MD)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Type: Mailing

  • 275 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032531

    Phone: (616) 267-7900

    Fax: (616) 267-7901

    Type: Location

  • 25, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    SUITE 6100

    GRAND RAPIDS, MI 495032515

    Phone: (616) 267-7900

    Fax: (616) 267-7901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 969 Open Payments records for all available years, with a total value of $637,267.

Total Amount is formed as General ($447,783) + Research ($189,483) + Ownership ($0) = $637,267.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: NEUROPACE, INC. ($260,169).

Total Amount

$637,267

General + Research + Ownership

Payments

969

Total payment records

General Amount

$447,783

General payments

Research Amount

$189,483

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2010-02-26

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
I20100226000069INeurologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional14573$0
95718Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional10192$0
99215Established patient office or other outpatient visit, 40-54 minutes6546$0
95983Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional3419$0
95836Measurement of brain wave activity (eeg) with implanted brain neurostimulator generator with report3318$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is there an official ID for DAVID EDWIN BURDETTE (MD) in U.S. healthcare records?
The official identifier for DAVID EDWIN BURDETTE (MD) is NPI 1679648315.
Is there an active status for DAVID EDWIN BURDETTE (MD)?
For scheduling context, DAVID EDWIN BURDETTE (MD) is shown as active in the registry.
What clinical focus is listed for DAVID EDWIN BURDETTE (MD)?
At a glance, DAVID EDWIN BURDETTE (MD) is tied to Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Is DAVID EDWIN BURDETTE (MD) associated with Grand Rapids?
Public fields place DAVID EDWIN BURDETTE (MD) around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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