DR. SAMUEL EDWARD BURKETT (M.D.) – Pulmonary Disease Physician, NPI 1699749069
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,186 PULMONARY DISEASE in TX
Provider Addresses for DR. SAMUEL EDWARD BURKETT (M.D.)
3851 ROGER BROOKE DR
DEPT OF INTERNAL MEDICINE
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-1329
Type: Location
300 W Hospital Rd # 7B-48
Fort Eisenhower, GA 309055741
Phone: (210) 846-3543
Fax: (706) 787-6829
Type: Location
300 W HOSPITAL RD # 7B-48
FORT EISENHOWER, GA 309055741
Phone: (210) 846-3543
Fax: (706) 787-6829
Type: Mailing
3624 J DEWEY GRAY CIR STE 308
AUGUSTA, GA 309096580
Phone: (706) 922-7400
Type: Location
San Antonio, La Paz, Baja California Sur, Mexico
APT#301
SAN ANTONIO, TX 782098330
Phone: (210) 824-6234
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,089.
Total Amount is formed as General ($2,089) + Research ($0) + Ownership ($0) = $2,089.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,672).
Total Amount
$2,089
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,089
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-18
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 |
|---|---|---|---|---|
| I20240418000194 | I | Pulmonary Disease | GA | 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 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| General Practice | FL | |
| Physician Assistant | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| General Practice | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Physician Assistant | GA | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA |
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