ADAM LABREE BOURGON DO
NPI 1659638575
Surgery in Joint Base Langley-eustis, VA
About Adam Labree Bourgon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM LABREE BOURGON DO (NPI 1659638575) is an individual surgery provider in Joint Base Langley-eustis, Virginia, licensed in South Dakota (17926) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Aberdeen, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
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
Adam Labree Bourgon Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Adam Bourgon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport News, VA 23601
- Reassigned Medicare billing, Virginia enrollment
- 1,097 clinicians in this Medicare group
Adams, WI 53910
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Canton, SD 57013
- Reassigned Medicare billing, South Dakota enrollment
- 422 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Aberdeen
Acute Care Hospitals · Aberdeen, SDAspirus Riverview Hospital & Clinics Inc
Acute Care Hospitals · Wisconsin Rapids, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOINT BASE LANGLEY-EUSTIS, VA 23665
JOINT BASE LANGLEY-EUSTIS, VA 23665
HAMPTON, VA 23665
JOINT BASE LANGLEY-EUSTIS, VA 23665
JOINT BASE LANGLEY-EUSTIS, VA 23665
JOINT BASE LANGLEY-EUSTIS, VA 23665
JOINT BASE LANGLEY EUSTIS, VA 23665
JOINT BASE LANGLEY-EUSTIS, VA 23665
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 Adam Bourgon's NPI number?
The NPI number for Adam Bourgon is 1659638575. It was assigned to this individual provider in the NPPES registry on April 17, 2012.
Where is Adam Bourgon located?
Adam Bourgon practices at 633D Medical Group 77 Nealy Ave, Joint Base Langley-Eustis, VA 23665. The listed phone number is (757) 764-6950.
What is Adam Bourgon's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Adam Bourgon enrolled in Medicare?
Yes. Adam Bourgon 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 Adam Bourgon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Bourgon reassigns Medicare benefits to 4 organizations: Riverside Physician Services Inc (Newport News, VA), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and Sanford Health Network (Canton, SD). 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 Adam Bourgon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Bourgon accept?
Health plans from Aspirus Health Plan, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Wellmark of South Dakota, Inc. list Adam Bourgon 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 Adam Bourgon affiliated with any hospitals?
According to CMS data, Adam Bourgon is affiliated with Sanford Medical Center Aberdeen and Aspirus Riverview Hospital & Clinics Inc.
When was this NPI record last updated?
The NPPES record for Adam Bourgon was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Adam Labree Bourgon, DO · NPI 1659638575
Surgery physician in Joint Base Langley-eustis, Virginia. Individual provider, active in the CMS NPPES registry since April 17, 2012.
## Identity
- **NPI:** 1659638575 (Entity type: Individual)
- **Enumerated:** April 17, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 17926 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 633D MEDICAL GROUP, 77 NEALY AVE, Joint Base Langley-eustis, VA 23665-2040
- **Phone:** (757) 764-6950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Riverside Physician Services Inc (NPI 1184642860, Newport News, VA); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1114411287, Adams, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); Sanford Health Network (NPI 1265718571, Canton, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2012
## Record status
- **NPPES last updated:** October 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1659638575) · Data from the CMS NPPES public registry.