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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SCOTT GEORGE BOURNS D.O.
NPI 1699719708
Family Medicine in Manteca, CA

Active since June 16, 2006PECOS Enrolled
200 COTTAGE AVE, MANTECA, CA 95336(209) 624-5800 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Scott George Bourns D.o. NPPES

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

DR. SCOTT GEORGE BOURNS D.O. (NPI 1699719708) is an individual family medicine provider in Manteca, California, licensed in California (20A 9042) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699719708
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT GEORGE BOURNSCredential: D.O.
Location Address200 COTTAGE AVEManteca, CA 95336-4935
Mailing Address7210 Murray DrStockton, CA 95210-3339 · (209) 373-2832
Phone(209) 624-5800
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1699719708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A 9042
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 COTTAGE AVE, Manteca, CA 95336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott George Bourns D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 14

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

MICHAEL STEVEN DAVIS M.D.
Internal Medicine (Pulmonary Disease)
200 COTTAGE AVE, STE 203
MANTECA, CA 95336
San Joaquin County (209) 825-5864
VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Urology
200 COTTAGE AVE, STE 101
MANTECA, CA 95336
San Joaquin County (209) 239-2197
MR. PEDRO GAMA GUZMAN RD
Dietitian, Registered
200 COTTAGE AVE
MANTECA, CA 95336
San Joaquin County (209) 624-5800
MR. MICHAEL D HEVOR MD
Psychiatry & Neurology (Neurology)
200 COTTAGE AVE, STE 200
MANTECA, CA 95336
San Joaquin County (209) 832-3332
CENTRAL VALLEY EYE MEDICAL GROUP INC.
Eyewear Supplier
200 COTTAGE AVE, STE 102
MANTECA, CA 95336
San Joaquin County (209) 239-5303
DR. RUSSELL P CARTER JR. MD
Internal Medicine
200 COTTAGE AVE, SUITE 201
MANTECA, CA 95336
San Joaquin County (209) 239-4554
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.
Urology
200 COTTAGE AVE, SUITE 101
MANTECA, CA 95336
San Joaquin County (209) 577-3388
SARAH VAILLANCOURT WHNP
Nurse Practitioner (Women's Health)
200 COTTAGE AVE
MANTECA, CA 95336
San Joaquin County (209) 624-5800

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 Scott Bourns's NPI number?

The NPI number for Scott Bourns is 1699719708. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Scott Bourns located?

Scott Bourns practices at 200 Cottage Ave, Manteca, CA 95336. The listed phone number is (209) 624-5800.

What is Scott Bourns's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Bourns enrolled in Medicare?

Yes. Scott Bourns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Bourns was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.