DR. PETER ARTHUR BURGOS (M.D.) – Family Medicine Physician, NPI 1154767655

DR. PETER ARTHUR BURGOS (M.D.) is a healthcare provider. based in Bixby, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-24246 (KS). The NPI Number for DR. PETER ARTHUR BURGOS (M.D.) is 1154767655

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER ARTHUR BURGOS (M.D.)
NPI
1154767655
Phone
(918) 417-0074
Address
11701 S 101ST EAST AVE
Enumeration Date
11 May 2013
Last Update Date
11 May 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6208854202
Graduation Year
1994 (32 years ago)
PAC ID
9830428465
Group Practice PAC ID
1355252545
Professional Enrollment ID
I20190907000186
Address ID
KS678658511MI222XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. PETER ARTHUR BURGOS (M.D.)

  • 11701 S 101ST EAST AVE

    BIXBY, OK 740082230

    Phone: (918) 417-0074

    Type: Mailing

  • 1337 S FOUNTAIN DR

    OLATHE, KS 660617205

    Phone: (913) 397-7800

    Fax: (913) 397-7801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-09-07

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
I20190907000186IFamily PracticeKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74008)

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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: 1355252545View full group profile
NameSpecialtyState
Diagnostic RadiologyMT
Physician AssistantKS
Certified Registered Nurse Anesthetist (Crna)OK
Diagnostic RadiologyTX
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
General SurgeryMT
Family PracticeCO
Physician AssistantKS

Reviews

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Frequently asked questions

Is there an official ID for DR. PETER ARTHUR BURGOS (M.D.) in U.S. healthcare records?
The official identifier for DR. PETER ARTHUR BURGOS (M.D.) is NPI 1154767655.
Active or inactive — what applies to DR. PETER ARTHUR BURGOS (M.D.)?
You should see DR. PETER ARTHUR BURGOS (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. PETER ARTHUR BURGOS (M.D.)?
DR. PETER ARTHUR BURGOS (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. PETER ARTHUR BURGOS (M.D.)?
Directory geography for DR. PETER ARTHUR BURGOS (M.D.) centers on Bixby, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.