2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1326251083 M.D.
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SEAN BURKE, M.D.

Neuromusculoskeletal Medicine & OMM Physician in ROANOKE, Virginia. 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
691
Medicare Part D claims · 118 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$5.1K
187 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SEAN BURKE, M.D. is a Neuromusculoskeletal Medicine & OMM Physician ([object Object]) practicing in ROANOKE, Virginia with a Medicare Part D prescribing footprint of 691 claims across 118 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.1K across 187 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SEAN BURKE, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 691 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SEAN BURKE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SEAN BURKE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/08/2007

NPI 1326251083

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician

Niche

1,235 US NPIs in this specialty

Medicare Part D claims

691 38% vs specialty avg

2023 prescription claims

Specialty avg: 1,107

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Virginia providers

Virginia providers

Neuromusculoskeletal Medicine & OMM Physician share within Virginia

1. Neuromusculoskeletal Medicine & OMM Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromusculoskeletal Medicine & OMM Physician share within Virginia

Medicare quality performance — MIPS

SEAN BURKE, M.D.'s 2023 MIPS final score plotted against the Neuromusculoskeletal Medicine & OMM Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) — 75/100 vs national avg 83.1

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).

SEAN BURKE, M.D. is a Neuromusculoskeletal Medicine & OMM Physician provider practicing in ROANOKE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1326251083. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEAN BURKE, M.D. appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding M.D. credentials at 3 RIVERSIDE CIR, ROANOKE, VA, 24016, with a listed phone of (540) 224-5170. NPI 1326251083 was issued on 05/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKE 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 691 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $704K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 5.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,235 enrolled providers across 51 states and an average of 1,107 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

3 RIVERSIDE CIR
ROANOKE, VA 24016

Provider Details

NPI 1326251083
Specialty Neuromusculoskeletal Medicine & OMM Physician
Credentials M.D.
Gender Male
NPI Issued 05/08/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEAN BURKE, M.D. 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.

AMBER HILL PHYSICAL THERAPY INC
FREDERICK, MD
COMPREHENSIVE NEUROLOGY SERVICES, PA
FREDERICK, MD

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 SEAN BURKE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$5.1K

Largest payer

Janssen Scientific Affairs, LLC

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.

Brand vs generic prescribing mix · Generic-heavy

SEAN BURKE, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 691 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

691
Total Claims
$704K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,146
Total Day Supply
33,431
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$431K
Generic Drug Cost
$271K
Opioid Claims
41 (5.9% rate)

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
1.36
Gender Split
50% female / 50% male
Age Distribution
<65: 33, 65-74: 46, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
89
Levetiracetam
52
Tramadol Hcl
41
Pregabalin
30
Lamotrigine
28
Pyridostigmine Bromide
28
Topiramate
24
Duloxetine Hcl
23
Diazepam
19
Glatopa
Glatiramer Acetate
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neuromusculoskeletal Medicine & OMM Physician Overview

How SEAN BURKE, M.D. fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.

1,235
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider

SEAN BURKE, M.D.'s 691 claims are below the specialty average of 1,107.

Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in Virginia

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

Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN BURKE, M.D.'s specialty?
SEAN BURKE, M.D. specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in ROANOKE, Virginia. Credentials: M.D..
How much does SEAN BURKE, M.D. prescribe under Medicare Part D?
In 2023, SEAN BURKE, M.D. wrote 691 Medicare Part D claims totaling $704K in drug costs for 118 beneficiaries.
What is SEAN BURKE, M.D.'s Medicare quality score?
SEAN BURKE, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEAN BURKE, M.D. located?
SEAN BURKE, M.D. is located at 3 RIVERSIDE CIR, ROANOKE, VA, 24016. Phone: (540) 224-5170.
What is SEAN BURKE, M.D.'s NPI number?
SEAN BURKE, M.D.'s National Provider Identifier (NPI) is 1326251083, issued on 05/08/2007.
Does SEAN BURKE, M.D. prescribe more brand-name or generic drugs?
SEAN BURKE, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $431K in brand drug costs.
Does SEAN BURKE, M.D. prescribe opioids?
Yes, SEAN BURKE, M.D. had 41 opioid claims in 2023 with an opioid prescribing rate of 5.9%.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US?
There are 1,235 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does SEAN BURKE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SEAN BURKE, M.D.'s most frequently prescribed drugs include Gabapentin, Levetiracetam, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEAN BURKE, M.D. accept Medicare?
SEAN BURKE, M.D. appears in CMS Medicare data with 691 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN BURKE, M.D.'s credentials?
SEAN BURKE, M.D.'s NPI is 1326251083 with credentials M.D.. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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