DR. JASON BOURQUE M.D.
NPI 1205060175
Urology in Lafayette, LA

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
120 RUE LOUIS XIV, LAFAYETTE, LA 70508(337) 769-7779 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 27, 2018 (2 updates tracked since 2018).

About Dr. Jason Bourque M.d. NPPES

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

DR. JASON BOURQUE M.D. (NPI 1205060175) is an individual urology provider in Lafayette, Louisiana, licensed in Louisiana (307858) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205060175
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JASON BOURQUECredential: M.D.
Location Address120 RUE LOUIS XIVLafayette, LA 70508-5739
Mailing Address120 Rue Louis XivLafayette, LA 70508-5739 · (337) 769-7779
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2009
Enumeration DateMay 7, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1205060175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in LA · 307858 Licensed in TX · 10033777 Licensed in TX · Q3854
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

120 RUE LOUIS XIV, Lafayette, LA 70508

Secondary Practice Locations 2

Location 1200 Beaullieu Dr Ste 7Lafayette, LA 70508-7230 · Phone (337) 233-2455
Location 22401 S 31st StTemple, TX 76508-0001 · Phone (254) 724-2111

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. Jason Bourque 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 ID3678799368
PECOS Enrollment IDI20180309000277
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 42

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
955 services157 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.
949 services749 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
631 services459 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
588 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
405 services327 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
390 services320 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Ochsner American Legion Hospital

Acute Care Hospitals · Jennings, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190053
Location1634 Elton RoadJennings, LA 70546 · Jeffrson Davis County
Emergency services Birthing friendly

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Park Place Surgical Hospital

Acute Care Hospitals · Lafayette, LA
OwnershipPhysician
CMS Certification Number190255
Location4811 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers17 claims46 services$8.55 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers13 claims27 services$5.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims340 services$5.41 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
3 suppliers14 claims400 services$3.14 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 5

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

Urology
120 RUE LOUIS XIV, BUILDING 1
LAFAYETTE, LA 70508
Urology
120 RUE LOUIS XIV
LAFAYETTE, LA 70508
Radiology (Radiation Oncology)
120 RUE LOUIS XIV
LAFAYETTE, LA 70508
Nurse Practitioner (Family)
120 RUE LOUIS XIV
LAFAYETTE, LA 70508
Nurse Practitioner (Family)
120 RUE LOUIS XIV
LAFAYETTE, LA 70508

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 Jason Bourque's NPI number?

The NPI number for Jason Bourque is 1205060175. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Jason Bourque located?

Jason Bourque practices at 120 Rue Louis Xiv, Lafayette, LA 70508. The listed phone number is (337) 769-7779.

What is Jason Bourque's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jason Bourque enrolled in Medicare?

Yes. Jason Bourque 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 Jason Bourque accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jason Bourque 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 Jason Bourque affiliated with any hospitals?

According to CMS data, Jason Bourque is affiliated with Ochsner Lafayette General Medical Center, Acadia General Hospital, Ochsner American Legion Hospital, Our Lady Of Lourdes Regional Medical Center, Inc and Park Place Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Jason Bourque was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.