DR. JAMES PAUL BURKE (M.D., PH.D.) – Neurological Surgery Physician, NPI 1720151855
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
464 NEUROSURGERY in PA
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Provider Addresses for DR. JAMES PAUL BURKE (M.D., PH.D.)
501 HOWARD AVE STE E1
ALTOONA, PA 166014817
Phone: (814) 946-9150
Fax: (814) 946-1397
Type: Mailing
501, Howard Avenue, Fairview, Altoona, Blair County, Pennsylvania, 16601, United States
BUILDING F-3
ALTOONA, PA 16601
Phone: (814) 946-9150
Fax: (814) 946-1397
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $112,078.
Total Amount is formed as General ($112,078) + Research ($0) + Ownership ($0) = $112,078.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Cerapedics Inc. ($89,847).
Total Amount
$112,078
General + Research + Ownership
Payments
104
Total payment records
General Amount
$112,078
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cerapedics Inc. | $89,847 |
| Spineart USA Inc | $15,761 |
| SPINEART USA INC | $3,639 |
| NuVasive, Inc. | $1,564 |
| Abbott Laboratories | $383 |
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: 2010-04-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100426000390 | I | Neurosurgery | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 132 | $0 |
| 99291 | Critical care, first 30-74 minutes | 63 | 30 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 47 | 15 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 44 | 31 | $0 |
| 22614 | Fusion of additional segment of spine | 42 | 14 | $0 |
Insurance plans in this area (ZIP 16601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA |
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