BURKE HENDRICKS (DO) – Emergency Medicine Physician, NPI 1972031367

BURKE HENDRICKS (DO) is a healthcare provider. based in Lawton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 6415 (OK). The NPI Number for BURKE HENDRICKS (DO) is 1972031367

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BURKE HENDRICKS (DO)
NPI
1972031367
Phone
Not provided
Address
3401 WEST GORE BOULEVARD
Enumeration Date
30 May 2017
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
5802525300
Graduation Year
2017 (9 years ago)
PAC ID
0547513715
Group Practice PAC ID
1153853130
Professional Enrollment ID
I20190502002558
Address ID
OK735330911DU2621XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for BURKE HENDRICKS (DO)

  • 3401 WEST GORE BOULEVARD

    LAWTON, OH 73505

    Phone:

    Type: Mailing

  • 3401 W GORE BLVD

    LAWTON, OK 735056332

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$14
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: 2019-05-02

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
I20190502002558IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making740648$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only455386$0
99284Emergency department visit with moderate level of medical decision making161153$0
99291Critical care, first 30-74 minutes3837$0
99283Emergency department visit with low level of medical decision making2422$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 1153853130View full group profile
NameSpecialtyState
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Family PracticeOK
Physician AssistantOK
Nurse PractitionerOK
Emergency MedicineOK

Reviews

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Frequently asked questions

What NPI should I save for BURKE HENDRICKS (DO)?
Save NPI 1972031367 if you need a stable reference for BURKE HENDRICKS (DO).
Is BURKE HENDRICKS (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BURKE HENDRICKS (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for BURKE HENDRICKS (DO). Clinical services aligned with this taxonomy classification.
What location shows for BURKE HENDRICKS (DO)?
We surface Lawton, Ohio for BURKE HENDRICKS (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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