2026 NPPES data Case Manager/Care Coordinator NPI 1538706536
Verify on CMS →

JALISA BURNEY

Case Manager/Care Coordinator in BEDFORD HEIGHTS, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
22
Medicare Part D claims · 13 beneficiaries · Case Manager/Care Coordinator avg: 859
Industry payments
$125.93
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JALISA BURNEY filed 22 Medicare Part D claims in 2023 as a Case Manager/Care Coordinator in BEDFORD HEIGHTS, Ohio.

22
Part D claims, 2023
$125.93
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JALISA BURNEY's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

22 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JALISA BURNEY?

Quality data not reported

NPI registry status

Active

Issued 12/09/2019

NPI 1538706536

Primary specialty

Case Manager/Care Coordinator

High-volume

160,120 US NPIs in this specialty

Medicare Part D claims

22 97% vs specialty avg

2023 prescription claims

Specialty avg: 859

Specialty distribution in Ohio

How Case Manager/Care Coordinator compares to other specialties among Ohio providers

Ohio providers

Case Manager/Care Coordinator share within Ohio

1. Case Manager/Care Coordinator42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Case Manager/Care Coordinator share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Case Manager/Care Coordinator (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Case Manager/Care Coordinator ABMS/AOA estimate

Est. board-certified rate (Case Manager/Care Coordinator) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Case Manager/Care Coordinator) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JALISA BURNEY appears in the CMS NPPES registry as a Case Manager/Care Coordinator provider at 25350 ROCKSIDE RD STE 100, BEDFORD HEIGHTS, OH, 44146, with a listed phone of (216) 961-8804. NPI 1538706536 was issued on 12/09/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURNEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 22 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $700 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,120 enrolled providers across 54 states and an average of 859 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

25350 ROCKSIDE RD STE 100
BEDFORD HEIGHTS, OH 44146

Provider Details

NPI 1538706536
Specialty Case Manager/Care Coordinator
Gender Female
NPI Issued 12/09/2019

Hospital and facility affiliations

Facilities where JALISA BURNEY bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PLANNED PARENTHOOD OF GREATER OHIO
WARREN, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JALISA BURNEY. Source: openpaymentsdata.cms.gov.

Total received

$126

Largest payer

Gilead Sciences, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to JALISA BURNEY. To verify JALISA BURNEY's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

22
Total Claims
$700
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
856
Brand Drug Cost
$0
Generic Drug Cost
$700

Patient Demographics

Average Patient Age
39.8 years
Avg HCC Risk Score
0.83

Case Manager/Care Coordinator Overview

How JALISA BURNEY fits within the Case Manager/Care Coordinator landscape nationally.

160,120
Case Manager/Care Coordinator Providers in US
54
States with Case Manager/Care Coordinator
859
Avg Claims per Provider

JALISA BURNEY's 22 claims are below the specialty average of 859.

Nearby Case Manager/Care Coordinator Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as BURNEY.

Compare Case Manager/Care Coordinator nationally: see state-by-state distribution →

Frequently Asked Questions

What is JALISA BURNEY's specialty?
JALISA BURNEY specializes in Case Manager/Care Coordinator and practices in BEDFORD HEIGHTS, Ohio.
How much does JALISA BURNEY prescribe under Medicare Part D?
In 2023, JALISA BURNEY wrote 22 Medicare Part D claims totaling $700 in drug costs for 13 beneficiaries.
Where is JALISA BURNEY located?
JALISA BURNEY is located at 25350 ROCKSIDE RD STE 100, BEDFORD HEIGHTS, OH, 44146. Phone: (216) 961-8804.
What is JALISA BURNEY's NPI number?
JALISA BURNEY's National Provider Identifier (NPI) is 1538706536, issued on 12/09/2019.
How many Case Manager/Care Coordinator providers are there in the US?
There are 160,120 Case Manager/Care Coordinator providers across 54 states in the US. The average Case Manager/Care Coordinator provider writes 859 Medicare Part D claims per year.
Does JALISA BURNEY accept Medicare?
JALISA BURNEY appears in CMS Medicare data with 22 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JALISA BURNEY's credentials?
JALISA BURNEY's NPI is 1538706536. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology