1. Home
  2. Directory
  3. Virginia
  4. Joint Base Langley Eustis
  5. Surgery
  6. NPI Profile

ADAM LABREE BOURGON DO
NPI 1659638575
Surgery in Joint Base Langley-eustis, VA

Active since April 17, 2012PECOS EnrolledAccepts Medicare Assignment
90.59/100
CMS Quality Rating
633D MEDICAL GROUP, 77 NEALY AVE, JOINT BASE LANGLEY-EUSTIS, VA 23665(757) 764-6950 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, May 3, 2021, Nov 30, 2020 and 1 more (4 updates tracked since 2017).

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 Indiana (02004369A) 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

NPI1659638575
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameADAM LABREE BOURGONCredential: DO
Location Address633D MEDICAL GROUP, 77 NEALY AVEJoint Base Langley-eustis, VA 23665-2040
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(757) 764-6950
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2012
Enumeration DateApril 17, 2012
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1659638575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IN · 02004369A✔ Licensed in VA · 0102205429✔ Licensed in WI · 74912
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
633D MEDICAL GROUP, Joint Base Langley-eustis, VA 23665
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1Aspirus Doctors Clinics, 2031 Peach StreetWisconsin Rapids, WI 54494 · Phone (715) 423-0122
Location 23015 3rd Ave SEAberdeen, SD 57401-5418 · Phone (605) 226-5500
Location 3109 Philip Roth StNewport News, VA 23606-1393 · Phone (757) 873-6434 · Fax (757) 873-1882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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 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.

PECOS PAC ID4688803281
PECOS Enrollment IDI20210730001218, I20260210000003
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.

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services14 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
12 services12 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
11 services11 patients

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, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Physician 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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.26
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES 19

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

KEITH DURON CRDH
Dental Hygienist
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 225-7630
WILLIAM F WOLFE C.R.N.A.
Nurse Anesthetist, Certified Registered
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 225-7630
DR. JOSEPH MATTHEW TERESI MD
Emergency Medicine
633D MEDICAL GROUP, 77 NEALY AVENUE
HAMPTON, VA 23665
Hampton City (757) 764-6800
DR. MARY ISKAROUS PSY.D.
Psychologist (Clinical)
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 764-6840
DR. OLIVER GENTILE M.D.
Anesthesiology
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 764-8290
MS. DIANA ELISE STRAIN LCSW
Social Worker (Clinical)
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 225-7630
JOSEPH DESILETS
Anesthesiology
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY EUSTIS, VA 23665
Hampton City (757) 225-7630
KATHERINE M MCCROARY MD
Internal Medicine
633D MEDICAL GROUP, 77 NEALY AVENUE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Hampton City (757) 764-2123

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.

What insurance does Adam Bourgon accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan 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 January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.