MEREDITH SAX BOURNE MD
NPI 1134530504
Family Medicine in Ithaca, NY
About Meredith Sax Bourne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEREDITH SAX BOURNE MD (NPI 1134530504) is an individual family medicine provider in Ithaca, New York, licensed in New York (317095) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meredith Sax Bourne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ITHACA, NY 14850
ITHACA, NY 14850
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Meredith Bourne's NPI number?
The NPI number for Meredith Bourne is 1134530504. It was assigned to this individual provider in the NPPES registry on May 19, 2014.
Where is Meredith Bourne located?
Meredith Bourne practices at 720 Willow Ave, Ithaca, NY 14850. The listed phone number is (607) 219-4600.
What is Meredith Bourne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Meredith Bourne enrolled in Medicare?
Yes. Meredith Bourne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Meredith Bourne was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Meredith Sax Bourne, MD · NPI 1134530504
Family Medicine physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since May 19, 2014.
## Identity
- **NPI:** 1134530504 (Entity type: Individual)
- **Enumerated:** May 19, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 317095 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 WILLOW AVE, Ithaca, NY 14850-3215
- **Phone:** (607) 219-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 8, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1134530504) · Data from the CMS NPPES public registry.