DR. MICHAEL H BOURNE MD
NPI 1073505582
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Salt Lake City, UT

Q: What is Michael Bourne's NPI number?

The NPI number for Michael Bourne is 1073505582. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Michael Bourne's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bourne was last updated on January 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2005

1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124(801) 261-7479(801) 261-7429 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2022, May 7, 2020, Feb 24, 2020 and 2 more (5 updates tracked since 2019).

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About Dr. Michael H Bourne Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL H BOURNE MD (NPI 1073505582) is an individual adult reconstructive orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (1818921205) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1073505582

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. MICHAEL H BOURNECredential: MD

Location Address1160 E 3900 S STE 5000Salt Lake City, UT 84124-1275

Mailing AddressPo Box 100253Atlanta, GA 30384-0253

Phone(801) 261-7479

Fax(801) 261-7429

Sole ProprietorNo

Enumeration DateAugust 19, 2005

Last NPPES UpdateJanuary 27, 20225 updates tracked since enumeration

NPPES CertifiedMay 7, 2020

✔ NPI 1073505582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in UT · 1818921205

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

1160 E 3900 S STE 5000, Salt Lake City, UT 84124

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Other Identifiers 1

Medicaid09941UT

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

24%352 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY D JACKSON MD

Orthopaedic Surgery