DR. MICHAEL RAY BOURNE MD
NPI 1164412649
Podiatrist in Stillwater, MN

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
1500 CURVE CREST BLVD W, STILLWATER, MN 55082(651) 439-1234(651) 275-3325 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2026, Jan 21, 2026, Jun 12, 2025 and 4 more (7 updates tracked since 2018).

About Dr. Michael Ray Bourne Md NPPES

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

DR. MICHAEL RAY BOURNE MD (NPI 1164412649) is an individual podiatrist in Stillwater, Minnesota, licensed in Minnesota (445) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of California School Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1164412649
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MICHAEL RAY BOURNECredential: MD
Location Address1500 CURVE CREST BLVD WStillwater, MN 55082-6040
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Fax(651) 275-3325
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1988
Enumeration DateOctober 25, 2005
Last NPPES UpdateApril 23, 20267 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1164412649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses Licensed in MN · 445 Licensed in WI · 746
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 746 (WI), 445 (MN)
1500 CURVE CREST BLVD W, Stillwater, MN 55082

Other Identifiers 2

Medicaid164225100MN
Medicaid43222300WI

Accepted 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

Dr. Michael Ray Bourne Md 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 ID1951357540
PECOS Enrollment IDI20050328000193, I20050404000927
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 5

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.
112 services84 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.
76 services76 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
29 services16 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.
24 services24 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.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier13 claims13 services$193.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Specialist/Technologist (Athletic Trainer)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Pediatrics
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Orthopaedic Surgery (Orthopaedic Trauma)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Physical Therapist
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Nurse Practitioner
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Speech-Language Pathologist
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Physician Assistant (Surgical)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082

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 Michael Bourne's NPI number?

The NPI number for Michael Bourne is 1164412649. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Michael Bourne located?

Michael Bourne practices at 1500 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 439-1234.

What is Michael Bourne's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Michael Bourne enrolled in Medicare?

Yes. Michael Bourne 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 Michael Bourne accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Michael Bourne 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 Michael Bourne affiliated with any hospitals?

According to CMS data, Michael Bourne is affiliated with Lakeview Memorial Hospital, Amery Hospital & Clinic, Hudson Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Michael Bourne was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.