1. Home
  2. Directory
  3. Connecticut
  4. New London
  5. Surgery
  6. NPI Profile

DR. PAUL ROBERT BOURGUIGNON M.D.
NPI 1154372175
Surgery - Vascular Surgery in New London, CT

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
50 FAIR HARBOUR PL, SUITE 2C, NEW LONDON, CT 06320(860) 443-3147(860) 443-0087 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Robert Bourguignon M.d. NPPES

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

DR. PAUL ROBERT BOURGUIGNON M.D. (NPI 1154372175) is an individual vascular surgery provider in New London, Connecticut, licensed in Connecticut (038703) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of University Of California, Davis School Of Medicine (1994).

NPPES Registry Identity

NPI1154372175
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. PAUL ROBERT BOURGUIGNONCredential: M.D.
Location Address50 FAIR HARBOUR PL, SUITE 2CNew London, CT 06320-4731
Mailing Address50 Fair Harbour Pl, Suite 2cNew London, CT 06320-4731 · (860) 443-3147 · Fax (860) 443-0087
Phone(860) 443-3147
Fax(860) 443-0087
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1994
Enumeration DateMay 15, 2006
Last NPPES UpdateMay 8, 2009
✔ NPI 1154372175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CT · 038703
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
50 FAIR HARBOUR PL, New London, CT 06320
Open in Google Maps ↗

Other Identifiers 9

Medicare PINP00361916CT
Other9636760CT · Cigna
OtherP3418275CT · Oxford
Other038703CT · Connecticare
Medicaid001387035CT
Medicare PIN020001695CT
Other2V8005Healthnet
Other010038703CT03CT · Anthem
Medicare UPINH15071CT

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

Dr. Paul Robert Bourguignon M.d. 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 ID7911972096
PECOS Enrollment IDI20040901000373, I20100313000082
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

ARTHUR S WELCH P.A.
Physician Assistant (Surgical)
50 FAIR HARBOUR PL, SUITE 2-A
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0564
DR. DEAN NORMAN WILLIS M.D.
Surgery
50 FAIR HARBOUR PL, SUITE 2-C
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-3147
ANESTHESIA ASSOCIATES OF NEW LONDON, P.C
Pain Medicine (Pain Medicine)
50 FAIR HARBOUR PL
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5117
DR. RONALD PAUL HANTMAN M.D.
Neurological Surgery
50 FAIR HARBOUR PL
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0564
GENERAL SURGICAL ASSOCIATES OF N.L., P.C.
Surgery
50 FAIR HARBOUR PL, SUITE 2-C
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-3147

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 Paul Bourguignon's NPI number?

The NPI number for Paul Bourguignon is 1154372175. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Paul Bourguignon located?

Paul Bourguignon practices at 50 Fair Harbour Pl Suite 2C, New London, CT 06320. The listed phone number is (860) 443-3147.

What is Paul Bourguignon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Paul Bourguignon enrolled in Medicare?

Yes. Paul Bourguignon 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.

Is Paul Bourguignon affiliated with any hospitals?

According to CMS data, Paul Bourguignon is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Paul Bourguignon was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.