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DR. DOUGLAS MICHAEL BOURQUE MD
NPI 1427054907
Obstetrics & Gynecology in Baltimore, MD

Active since June 21, 2005PECOS Enrolled
74.39/100
CMS Quality Rating
3509 EASTERN AVE, BALTIMORE, MD 21224(410) 558-4900(410) 522-1475 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas Michael Bourque Md NPPES

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

DR. DOUGLAS MICHAEL BOURQUE MD (NPI 1427054907) is an individual obstetrics & gynecology provider in Baltimore, Maryland, licensed in Maryland (030359) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Georgetown University School Of Medicine (1980).

NPPES Registry Identity

NPI1427054907
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DOUGLAS MICHAEL BOURQUECredential: MD
Location Address3509 EASTERN AVEBaltimore, MD 21224
Mailing Address3509 Eastern AveBaltimore, MD 21224 · (410) 558-4900 · Fax (410) 522-1475
Phone(410) 558-4900
Fax(410) 522-1475
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1980
Enumeration DateJune 21, 2005
Last NPPES UpdateMarch 28, 2013
✔ NPI 1427054907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MD · 030359
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3509 EASTERN AVE, Baltimore, MD 21224
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC49376
Medicare ID-Type UnspecifiedS7321089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Michael Bourque Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103015946
PECOS Enrollment IDI20110111000232
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

2

Medicare enrollment records show Douglas Bourque reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baltimore Medical Systems, Inc.
1.0 mi
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group
NPI 1164138152 (410) 558-4084
Johns Hopkins University
1.0 mi
Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1306810619 (410) 550-3362

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
30 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
16 services16 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 4

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

MR. BYRON N BALDWIN PAC
Internal Medicine
3509 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 558-4900
MS. KAREN ELIZABETH SCHEU FNP
Nurse Practitioner (Family)
3509 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 558-4900
DONALD GARLAND DO
Obstetrics & Gynecology
3509 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 558-4900
COALITION MENTAL HEALTH SERVICES
Pharmacist (Psychiatric)
3509 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 613-0604

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 Douglas Bourque's NPI number?

The NPI number for Douglas Bourque is 1427054907. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Douglas Bourque located?

Douglas Bourque practices at 3509 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 558-4900.

What is Douglas Bourque's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Bourque enrolled in Medicare?

Yes. Douglas Bourque is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Bourque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Bourque reassigns Medicare benefits to 2 organizations: Baltimore Medical Systems, Inc. (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Bourque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Bourque affiliated with any hospitals?

According to CMS data, Douglas Bourque is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Douglas Bourque was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.