MATTHEW DULLES BOURNE DO
NPI 1619437779
Radiology - Diagnostic Radiology in Silver Spring, MD

Q: 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.

Q: What is Matthew Bourne's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: 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 11 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.

Active since March 23, 2019PECOS Enrolled

1100 WAYNE AVE STE 1020, SILVER SPRING, MD 20910(703) 390-9882 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2024, Dec 17, 2024, Jun 25, 2024 and 2 more (5 updates tracked since 2019).

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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

NPI1619437779

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMATTHEW DULLES BOURNECredential: DO

Location Address1100 WAYNE AVE STE 1020Silver Spring, MD 20910-5643

Mailing Address201 E University Pkwy Dept OfBaltimore, MD 21218-2829 · (410) 554-2284 · Fax (410) 554-2184

Phone(703) 390-9882

Sole ProprietorYes

Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2019

Enumeration DateMarch 23, 2019

Last NPPES UpdateSeptember 23, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1619437779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MD · H0100891✔ Licensed in IA · DO-06857✔ Licensed in ND · 21575✔ Licensed in MO · 2024039730✔ Licensed in GU · DO-0133

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1100 WAYNE AVE STE 1020, Silver Spring, MD 20910

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Secondary Practice Locations 4

Location 1500 E Market StIowa City, IA 52245-2633 · Phone (833) 228-6889 · Fax (877) 853-0376

Location 2701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (833) 228-6889 · Fax (877) 853-0376

Location 36000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 406-5888 · Fax (573) 248-5264

Location 42305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Avera Health Plans, Blue Cross and Blue Shield of Kansas City 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)

Matthew Dulles Bourne Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325587264

PECOS Enrollment IDI20240823001266, I20241023004705, I20241101001944, I20241206001795, I20241218002666, I20250108002281, I20250121003526, I20250205003929, I20250219003783, I20250321003185, I20250415000743, I20250924001223, I20251114001112

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.

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, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160029

Location500 E Market StreetIowa City, IA 52245 · Johnson County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU

OwnershipVoluntary non-profit - Private

CMS Certification Number650003

Location133 Route 3Dededo, GU 96929 · Guam County

Emergency services

Physician 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.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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.

What insurance does Matthew Bourne accept?

Health plans from Arkansas Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Kansas City and BlueCross BlueShield of South Carolina and 3 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, St Lukes Hospital, Mercy Medical Center - Cedar Rapids 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 11 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.