1. Home
  2. Directory
  3. Virginia
  4. Woodbridge
  5. Internal Medicine
  6. NPI Profile

DR. MARIYA BOURGET M.D.
NPI 1477870541
Internal Medicine in Woodbridge, VA

Active since April 28, 2010PECOS EnrolledAccepts Medicare Assignment
14330 GIDEON DR STE B, WOODBRIDGE, VA 22192(571) 408-6800(703) 910-7021 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mariya Bourget M.d. NPPES

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

DR. MARIYA BOURGET M.D. (NPI 1477870541) is an individual internal medicine provider in Woodbridge, Virginia, licensed in Virginia (0101247265) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centreville, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1477870541
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIYA BOURGETCredential: M.D.
Location Address14330 GIDEON DR STE BWoodbridge, VA 22192-4640
Mailing Address14330 Gideon Dr Ste BWoodbridge, VA 22192-4640 · (571) 408-6800 · Fax (703) 910-7021
Phone(571) 408-6800
Fax(703) 910-7021
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 28, 2010
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1477870541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101247265
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14330 GIDEON DR STE B, Woodbridge, VA 22192
Open in Google Maps ↗

Secondary Practice Location 1

Location 15895 Trinity Pkwy, Suite 100Centreville, VA 20120-1995 · Phone (703) 802-2004 · Fax (703) 802-2113

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariya Bourget 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 ID4880880145
PECOS Enrollment IDI20110526000330
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

3

Medicare enrollment records show Mariya Bourget reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cavery Health Clinic
Same address
Family Medicine
14330 GIDEON DR STE B
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1700441326 (571) 408-9139
Integrative Medicine & Wellness Inc
16 mi
Internal Medicine
7900 SUDLEY RD STE 416
Manassas, VA 20109
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1619792256 (703) 563-3804
Clifton Centreville Medical Associates
16 mi
Internal Medicine
5895 TRINITY PKWY, SUITE 100
Centreville, VA 20120
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group
NPI 1912078619 (703) 802-2004

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 3

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 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.
80 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims58 services$6.39 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 4

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

MS. RENE LYNN ERNEST RN, ANP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
14330 GIDEON DR STE B
WOODBRIDGE, VA 22192
Prince William County (571) 408-6800
MRS. MEGGIE KEOGH FNP
Nurse Practitioner (Primary Care)
14330 GIDEON DR STE B
WOODBRIDGE, VA 22192
Prince William County (571) 408-6800
CAVERY TREATMENT CENTER
Family Medicine (Addiction Medicine)
14330 GIDEON DR STE B
WOODBRIDGE, VA 22192
Prince William County (571) 408-6800
CAVERY HEALTH CLINIC
Family Medicine
14330 GIDEON DR STE B
WOODBRIDGE, VA 22192
Prince William County (571) 408-9139

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 Mariya Bourget's NPI number?

The NPI number for Mariya Bourget is 1477870541. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Mariya Bourget located?

Mariya Bourget practices at 14330 Gideon Dr Ste B, Woodbridge, VA 22192. The listed phone number is (571) 408-6800.

What is Mariya Bourget's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mariya Bourget enrolled in Medicare?

Yes. Mariya Bourget 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.

Which organizations bill Medicare for Mariya Bourget's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariya Bourget reassigns Medicare benefits to 3 organizations: Cavery Health Clinic (Woodbridge, VA), Integrative Medicine & Wellness Inc (Manassas, VA) and Clifton Centreville Medical Associates (Centreville, VA). 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 Mariya Bourget's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariya Bourget was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.