SEAN DAVID BOURNE MD
NPI 1700237534
Family Medicine in Frederick, MD

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
7190 CRESTWOOD BLVD, FREDERICK, MD 21703(240) 529-1700 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2021, Mar 17, 2018, Jun 22, 2016 (3 updates tracked since 2016).

About Sean David Bourne Md NPPES

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

SEAN DAVID BOURNE MD (NPI 1700237534) is an individual family medicine provider in Frederick, Maryland, licensed in Virginia (0101263331) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2016).

NPPES Registry Identity

NPI1700237534
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN DAVID BOURNECredential: MD
Location Address7190 CRESTWOOD BLVDFrederick, MD 21703-7314
Mailing Address2101 E Jefferson StRockville, MD 20852-4908 · (800) 777-7904
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1700237534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101263331
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116029690 (VA)
7190 CRESTWOOD BLVD, Frederick, MD 21703

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

Sean David Bourne Md 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 ID4486948627
PECOS Enrollment IDI20180329000093, I20190826003249
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 21703 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 11

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

Social Worker (Clinical)
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Pharmacy (Managed Care Organization Pharmacy)
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pharmacist
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Clinical Medical Laboratory
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pharmacy (Managed Care Organization Pharmacy)
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pediatrics
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Family Medicine
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Pharmacist
7190 CRESTWOOD BLVD
FREDERICK, MD 21703

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 Sean Bourne's NPI number?

The NPI number for Sean Bourne is 1700237534. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Sean Bourne located?

Sean Bourne practices at 7190 Crestwood Blvd, Frederick, MD 21703. The listed phone number is (240) 529-1700.

What is Sean Bourne's specialty?

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

Is Sean Bourne enrolled in Medicare?

Yes. Sean Bourne 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.

When was this NPI record last updated?

The NPPES record for Sean Bourne was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.