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NICHOLAS JAMES BOURNIAS DDS
NPI 1144202045
Dentist - Oral and Maxillofacial Surgery in Clinton Township, MI

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
43900 GARFIELD RD STE 103, CLINTON TOWNSHIP, MI 48038(586) 228-9070 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Sep 24, 2018 (2 updates tracked since 2018).

About Nicholas James Bournias Dds NPPES

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

NICHOLAS JAMES BOURNIAS DDS (NPI 1144202045) is an individual oral and maxillofacial surgery provider in Clinton Township, Michigan, licensed in Michigan (2901015573) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1144202045
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNICHOLAS JAMES BOURNIASCredential: DDS
Location Address43900 GARFIELD RD STE 103Clinton Township, MI 48038-1137
Mailing Address70 S Deeplands RdGrosse Pointe Shores, MI 48236-2642
Phone(586) 228-9070
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 16, 2005
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1144202045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901015573
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
43900 GARFIELD RD STE 103, Clinton Township, MI 48038
Open in Google Maps ↗

Other Identifiers 4

Medicaid3203473MI
OtherNB015573MI · License Number
Medicaid3159052MI
Other970F31085MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas James Bournias Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496650111
PECOS Enrollment IDI20031218000245
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nicholas Bournias's NPI number?

The NPI number for Nicholas Bournias is 1144202045. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Nicholas Bournias located?

Nicholas Bournias practices at 43900 Garfield Rd Ste 103, Clinton Township, MI 48038. The listed phone number is (586) 228-9070.

What is Nicholas Bournias's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nicholas Bournias enrolled in Medicare?

Yes. Nicholas Bournias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Bournias accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Nicholas Bournias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Bournias affiliated with any hospitals?

According to CMS data, Nicholas Bournias is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Nicholas Bournias was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.