Stephen Burkholder, M.D.
NPI 1932337078 · Psychiatry Physician · Wernersville, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Burkholder, M.D. is a Psychiatry Physician provider in Wernersville, PA (NPI 1932337078).
Provider details
- NPI number
- 1932337078
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P1730 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
170 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 170 | $47 |
Typical Medicare-allowed amounts for these services range $47–$47 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lamotrigine | 117 | 11 |
| Olanzapine | 96 | 13 |
| Clozapine | 88 | — |
| Lorazepam | 85 | — |
| Memantine Hcl | 81 | — |
| Fluphenazine Hcl | 39 | — |
| Clonazepam | 36 | — |
| Lithium Carbonate | 36 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$34 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-28
- Last updated
- 2016-07-11
Frequently asked questions
- What is Stephen Burkholder's NPI number?
- Stephen Burkholder's National Provider Identifier (NPI) is 1932337078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Burkholder's specialty?
- Stephen Burkholder is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Burkholder located?
- Stephen Burkholder's practice location on file with NPPES is 160 Main St, Wernersville, PA 19565-9490.
- What is Stephen Burkholder's phone number?
- The practice phone number listed in the NPPES registry for Stephen Burkholder is (610) 678-3411.
- Does Stephen Burkholder accept Medicare?
- Stephen Burkholder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Burkholder's NPI active?
- Yes — Stephen Burkholder's NPI (1932337078) is active in the NPPES registry as of the last update on 2016-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.