Dr. Mark F Burger , MD
General Practice โข Encinitas, CA
1200 N Coast Highway 101
Encinitas, CA 920241441
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 17, 2007; this date does not establish years in practice.
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Published CMS data list 706 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 385 service units.
- 99203 โ New patient outpatient office visit: 160 service units.
- 81003 โ Automated urinalysis test: 72 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,013 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ipratropium Bromide โ 266 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 182 prescription fills, including refills.
- Doxycycline Hyclate โ 74 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: 485. Middle half: 154 to 2,019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 52 in 2022 to 706 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
1200 N Coast Highway 101
Encinitas, CA 920241441
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in San Clemente, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: South County Urgent Care Medical Corporation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2005
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
441 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $80,842 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $56,038 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,015 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$12,156 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $49.27 across 2 records.
By nature of payment
- Food and Beverage: $49.27 across 2 records.
Reporting-company totals
- Exact Sciences Corporation: $28.34 across 1 record.
- Acella Pharmaceuticals, LLC: $20.93 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Burger has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Burger as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Encinitas and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: 485. Middle half: 154 to 2,019.
Too few clinicians listed under General Practice in Encinitas have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $45,658. Middle half: $15,010 to $165,277.
Too few clinicians listed under General Practice in Encinitas have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under General Practice in California (2024, 409 clinicians with data). Median for this group: $32,130. Middle half: $11,436 to $131,972.
Too few clinicians listed under General Practice in Encinitas have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: 758. Middle half: 125 to 3,707.
Too few clinicians listed under General Practice in Encinitas have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under General Practice in California (2024, 610 clinicians with data). Median for this group: $48,894. Middle half: $2,044 to $279,308.
Too few clinicians listed under General Practice in Encinitas have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under General Practice with a practice address in Encinitas, CA (1,963 in California).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1258% from 52 in 2022 to 706 in 2024.
- 2022: 52
- 2023: 484
- 2024: 706
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Medicare-allowed amount
Medicare-allowed amount increased 1073% from $6,890 in 2022 to $80,842 in 2024.
- 2022: $6,890
- 2023: $57,736
- 2024: $80,842
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Paid by Medicare
Paid by Medicare increased 895% from $5,631 in 2022 to $56,038 in 2024.
- 2022: $5,631
- 2023: $40,532
- 2024: $56,038
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 944% from 97 in 2022 to 1,013 in 2024.
- 2022: 97
- 2023: 552
- 2024: 1,013
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30-day fills
30-day fills increased 915% from 100 in 2022 to 1,015 in 2024.
- 2022: 100
- 2023: 553
- 2024: 1,015
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Part D drug cost
Part D drug cost increased 510% from $1,993 in 2022 to $12,156 in 2024.
- 2022: $1,993
- 2023: $9,042
- 2024: $12,156
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $33.86 in 2022 to $49.27 in 2025.
- 2022: $33.86
- 2023: $138.27
- 2024: $42.31
- 2025: $49.27
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $49.27.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $28.34 |
| Acella Pharmaceuticals, LLC |
Food and Beverage
In-kind items and services
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NP Thyroid 60 | General | $20.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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385 | 269 | $281.00 | $138.16 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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160 | 160 | $243.00 | $120.61 |
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81003
Automated urinalysis test
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72 | 65 | $5.54 | $2.17 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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41 | 41 | $361.00 | $178.96 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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21 | 20 | $33.00 | $16.20 |
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69209
Removal of impacted ear wax by washing
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14 | 14 | $44.54 | $22.58 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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13 | 13 | $36.00 | $15.64 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ipratropium Bromide | Ipratropium Bromide | 266 | 5,542 | $5,354.04 | 238 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 182 | 1,398 | $1,083.01 | 156 |
| Doxycycline Hyclate | Doxycycline Hyclate | 74 | 560 | $499.89 | 65 |
| Azithromycin | Azithromycin | 73 | 356 | $261.80 | 66 |
| Cephalexin | Cephalexin | 62 | 352 | $353.68 | 55 |
| Meloxicam | Meloxicam | 59 | 1,815 | $148.69 | 43 |
| Prednisone | Prednisone | 43 | 205 | $58.77 | 42 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 42 | 340 | $139.92 | 41 |
| Moxifloxacin | Moxifloxacin Hcl | 29 | 342 | $578.24 | 27 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 26 | 176 | $288.37 | 26 |
| Ibuprofen | Ibuprofen | 23 | 230 | $65.85 | 23 |
| Paxlovid | Nirmatrelvir/Ritonavir | 21 | 105 | $1,428.97 | 21 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 19 | 300 | $231.05 | 17 |
| Neomycin-Polymyxin-Hc | Neomycin/Polymyxin B/Hydrocort | 19 | 220 | $1,092.44 | 19 |
| Fluconazole | Fluconazole | 14 | 68 | $21.66 | 12 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 14 | 218 | $168.56 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 12 | 64 | $30.86 | โ |
| Ssd | Silver Sulfadiazine | 12 | 325 | $88.43 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 12 | 197 | $222.86 | โ |
| Methylprednisolone | Methylprednisolone | 11 | 62 | $38.57 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-23NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20230111001997
CA
7719275874
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
South County Urgent Care Medical Corporation
1300 Avenida Vista Hermosa, San Clemente, CA 926736315
Phone: 9492188050
Secondary Practice Locations
1300 Avenida Vista Hermosa Ste 100
San Clemente, CA 926736315
Phone: 9492188050
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1200 N COAST HIGHWAY 101, ENCINITAS, CA 920241441 (Tel: 6194836694)
Registered at PO BOX 300, SOLANA BEACH, CA 920750300 (Tel: 6194836694)
NPI status registered as active in NPPES database
Registered at 2080 NEWBURY RD, SUITE B, NEWBURY PARK, CA 913203387 (Tel: 8054990308)
Registered at 34800 BOB WILSON DR, SUITE B, SAN DIEGO, CA 921341098 (Tel: 6195326827)
Recorded as MARK BURGER, M.D.
Internal Medicine (license number reported to NPPES: CA A99988)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Encinitas
Healthcare providers in EncinitasMailing Address
Po Box 300
Solana Beach, CA 920750300
Phone: 6194836694