RYAN BOURDON M.D.
NPI 1194011148
Emergency Medicine in Saint Paul, MN

Q: What is Ryan Bourdon's NPI number?

The NPI number for Ryan Bourdon is 1194011148. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Ryan Bourdon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Bourdon was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 28, 2011PECOS Enrolled

640 JACKSON ST, MC 11102F, SAINT PAUL, MN 55101(651) 254-3666 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ryan Bourdon M.d. NPPES

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

RYAN BOURDON M.D. (NPI 1194011148) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Minnesota (57524) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194011148

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRYAN BOURDONCredential: M.D.

Location Address640 JACKSON ST, MC 11102FSaint Paul, MN 55101-2502

Mailing Address640 Jackson St, Mc 11102fSaint Paul, MN 55101-2502 · (651) 254-3666

Phone(651) 254-3666

Sole ProprietorNo

Enumeration DateJune 28, 2011

Last NPPES UpdateMay 10, 2019

✔ NPI 1194011148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MN · 57524✔ Licensed in WI · 61856-20

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

640 JACKSON ST, Saint Paul, MN 55101

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Secondary Practice Locations 4

Location 1535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600

Location 2927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330

Location 3265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000

Location 4405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Bourdon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Ryan Bourdon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regions Hospital

Same address

Emergency Medicine

640 JACKSON ST
Saint Paul, MN 55101

Reassigned Medicare billing, Minnesota enrollment
393 clinicians in this Medicare group

NPI 1154359917 (651) 254-3908

Lakeview Memorial Hospital Association Inc.

15 mi

Neonatal

927 CHURCHILL ST W
Stillwater, MN 55082

Reassigned Medicare billing, Minnesota enrollment
94 clinicians in this Medicare group

NPI 1821114729 (651) 430-4529

Hudson Hospital, Inc.

18 mi

Critical Access

405 STAGELINE RD
Hudson, WI 54016

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1396849303 (Wisconsin)
158 clinicians in this Medicare group

NPI 1255532875 (715) 531-6000

Westfields Hospital, Inc.

29 mi

Critical Access

535 HOSPITAL ROAD
New Richmond, WI 54017

Reassigned Medicare billing, Wisconsin enrollment
357 clinicians in this Medicare group

NPI 1881640183 (715) 243-2600

St. Croix Regional Medical Center

38 mi

Critical Access

235 STATE ST
Saint Croix Falls, WI 54024

Reassigned Medicare billing, Wisconsin enrollment
453 clinicians in this Medicare group

NPI 1043240922 (715) 483-3221

Amery Regional Medical Center, Inc.

43 mi

Critical Access

265 GRIFFIN ST E
Amery, WI 54001

Reassigned Medicare billing, Wisconsin enrollment
348 clinicians in this Medicare group

NPI 1093763518 (715) 268-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

107 services101 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

62 services59 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

45 services40 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine