DR. JEFFREY EDWARE BURTAINE (M.D.) – Family Medicine Physician, NPI 1083896302

DR. JEFFREY EDWARE BURTAINE (M.D.) is a healthcare provider. based in Lehighton, Pennsylvania. specializing in PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD 00165E (PA). The NPI Number for DR. JEFFREY EDWARE BURTAINE (M.D.) is 1083896302

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY EDWARE BURTAINE (M.D.)
NPI
1083896302
Phone
(570) 645-1000
Address
575 S. 9TH STREET
Enumeration Date
28 November 2007
Last Update Date
22 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4844262501
Graduation Year
1969 (57 years ago)
PAC ID
0143507590
Group Practice PAC ID
0648189688
Professional Enrollment ID
I20170512000015
Address ID
PA181040000AL501XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

44 PREVENTIVE MEDICINE in PA

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Provider Addresses for DR. JEFFREY EDWARE BURTAINE (M.D.)

  • St. Luke's Health Center - Lehighton, 575, South 9th Street, Lehighton, Carbon County, Pennsylvania, 18235, United States

    SUITE 7

    LEHIGHTON, PA 18235

    Phone: (570) 645-1000

    Fax: (570) 645-1001

    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)

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: 2018-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170512000015IPreventive MedicinePATBD
I20180405001456IPreventive MedicineNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes617502$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 18235)

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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: 0648189688View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
-PA
Family Practice, Geriatric MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Can I verify DR. JEFFREY EDWARE BURTAINE (M.D.) with an NPI only?
You can start verification with NPI 1083896302 for DR. JEFFREY EDWARE BURTAINE (M.D.), then check state licensing separately.
Is DR. JEFFREY EDWARE BURTAINE (M.D.) listed as active for patients and plans?
The listing shows DR. JEFFREY EDWARE BURTAINE (M.D.) as active in the NPI system.
What is DR. JEFFREY EDWARE BURTAINE (M.D.)'s specialty?
The listing groups DR. JEFFREY EDWARE BURTAINE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY EDWARE BURTAINE (M.D.) list a practice location?
Patients near Lehighton, Pennsylvania may find DR. JEFFREY EDWARE BURTAINE (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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