DR. PAUL G BOURESSA M.D.
NPI 1366414047
Pediatrics in Springfield, OR

Q: What is Paul Bouressa's NPI number?

The NPI number for Paul Bouressa is 1366414047. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Paul Bouressa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Bouressa was last updated on December 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2006PECOS Enrolled

3377 RIVERBEND DR, SPRINGFIELD, OR 97477(541) 222-6400 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Paul G Bouressa M.d. NPPES

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

DR. PAUL G BOURESSA M.D. (NPI 1366414047) is an individual pediatrics provider in Springfield, Oregon, licensed in Oregon (MD20093) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366414047

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PAUL G BOURESSACredential: M.D.

Location Address3377 RIVERBEND DRSpringfield, OR 97477-8800

Mailing AddressPo Box 24410Eugene, OR 97402-0451

Phone(541) 222-6400

Sole ProprietorNo

Enumeration DateFebruary 6, 2006

Last NPPES UpdateDecember 1, 2008

✔ NPI 1366414047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · MD20093

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3377 RIVERBEND DR, Springfield, OR 97477

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Other Identifiers 4

Medicare PINR037WFBFRQOR

Medicare UPING31447

Medicaid082417OR

OtherP370012349OR · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans 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 (PECOS)

Dr. Paul G Bouressa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97477 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

MONICA NAYAN DESHPANDE NP

Nurse Practitioner (Pediatrics)