MATTHEW DULLES BOURNE DO
NPI 1619437779
Radiology - Diagnostic Radiology in Silver Spring, MD
About Matthew Dulles Bourne Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW DULLES BOURNE DO (NPI 1619437779) is an individual diagnostic radiology provider in Silver Spring, Maryland, licensed in Maryland (H0100891) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Dulles Bourne Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
40Medicare enrollment records show Matthew Bourne reassigns Medicare billing to 40 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chevy Chase, MD 20815
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1831385871 (Maryland)
- 156 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Waldorf, MD 20603
- Reassigned Medicare billing, District of Columbia enrollment
- 43 clinicians in this Medicare group
Hollywood, MD 20636
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 180 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, District of Columbia and North Carolina enrollments
- 5 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Wagram, NC 28396
- Reassigned Medicare billing, North Carolina enrollment
- 476 clinicians in this Medicare group
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 298 clinicians in this Medicare group
Whiteville, NC 28472
- Reassigned Medicare billing, North Carolina enrollment
- 187 clinicians in this Medicare group
Worcester, MA 01606
- Reassigned Medicare billing, Massachusetts enrollment
- 718 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Iowa Health Care Medical Center Down
Acute Care Hospitals · Iowa City, IAMercy Medical Center - Cedar Rapids
Acute Care Hospitals · Cedar Rapids, IAAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDGuam Regional Medical City
Acute Care Hospitals · Dededo, GUPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matthew Bourne's NPI number?
The NPI number for Matthew Bourne is 1619437779. It was assigned to this individual provider in the NPPES registry on March 23, 2019.
Where is Matthew Bourne located?
Matthew Bourne practices at 1100 Wayne Ave Ste 1020, Silver Spring, MD 20910. The listed phone number is (703) 390-9882.
What is Matthew Bourne's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Matthew Bourne enrolled in Medicare?
Yes. Matthew Bourne is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Matthew Bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Bourne reassigns Medicare benefits to 40 organizations: Physician Imaging Of Washington Hospital Center, LLC (Chevy Chase, MD), Medstar Medical Group II LLC (Washington, DC), Maryland Imaging Network PC (Waldorf, MD), Medstar Medical Group - Southern Maryland LLC (Hollywood, MD), Valley Radiology P A (Fayetteville, NC) and 35 more organizations, listed in the Medicare section above. 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 Matthew Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Bourne accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Kansas City, Cigna Healthcare and Oscar Insurance Company and 2 other insurers list Matthew Bourne 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 Matthew Bourne affiliated with any hospitals?
According to CMS data, Matthew Bourne is affiliated with University Of Iowa Health Care Medical Center Down, Mercy Medical Center - Cedar Rapids, Avera Mckennan Hospital & University Health Center and Guam Regional Medical City.
When was this NPI record last updated?
The NPPES record for Matthew Bourne was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Matthew Dulles Bourne, DO · NPI 1619437779
Diagnostic Radiology physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since March 23, 2019.
## Identity
- **NPI:** 1619437779 (Entity type: Individual)
- **Enumerated:** March 23, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** H0100891 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 WAYNE AVE STE 1020, Silver Spring, MD 20910-5643
- **Phone:** (703) 390-9882
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 40 organizations under Medicare reassignment (form CMS-855R): Physician Imaging Of Washington Hospital Center, LLC (NPI 1760083281, Chevy Chase, MD); Medstar Medical Group II LLC (NPI 1023836137, Washington, DC); Maryland Imaging Network PC (NPI 1952138117, Waldorf, MD); Medstar Medical Group - Southern Maryland LLC (NPI 1831592211, Hollywood, MD); Valley Radiology P A (NPI 1093723538, Fayetteville, NC); and 35 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie Col Of Osteo Med At Seton Hill Univ, class of 2019
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619437779) · Data from the CMS NPPES public registry.