EILEEN MARY BURCHBY (MD) – Pediatrics Physician, NPI 1407808744
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
114 ADDICTION MEDICINE in FL
Provider Addresses for EILEEN MARY BURCHBY (MD)
5728 MEADOWVIEW DR
WHITE BEAR LAKE, MN 551102286
Phone:
Type: Mailing
4912 20TH AVE W
BRADENTON, FL 342095702
Phone: (516) 233-8034
Type: Mailing
201 4TH AVE E STE 2
BRADENTON, FL 342081043
Phone: (941) 226-0018
Fax: (941) 260-4872
Type: Location
1750 17TH ST STE J2
SARASOTA, FL 342348690
Phone: (941) 366-5333
Type: Location
Mercantile Drive North, Hugo, Washington County, Minnesota, 55038, United States
HUGO, MN 55038
Phone: (651) 466-1900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Indivior Inc. ($41).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $41 |
| Otsuka America Pharmaceutical, Inc. | $17 |
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: 2021-11-18
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 |
|---|---|---|---|---|
| I20211118003123 | I | Addiction Medicine | FL | 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 55110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | ME | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | WV | |
| Anesthesiology, Pain Management | CA | |
| Osteopathic Manipulative Medicine | ME | |
| Emergency Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | KY |
Reviews
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