SEAN DAVID BOURNE MD
NPI 1700237534
Family Medicine in Frederick, MD
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sean Bourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gaithersburg, MD 20879
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1417294984 (Maryland)
- 2,492 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.
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.
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.
FREDERICK, MD 21703
FREDERICK, MD 21703
FREDERICK, MD 21703
FREDERICK, MD 21703
FREDERICK, MD 21703
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.
Which organization bills Medicare for Sean Bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Bourne reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). The 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 Sean Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Sean David Bourne, MD · NPI 1700237534
Family Medicine physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since June 22, 2016.
## Identity
- **NPI:** 1700237534 (Entity type: Individual)
- **Enumerated:** June 22, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101263331 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7190 CRESTWOOD BLVD, Frederick, MD 21703-7314
- **Phone:** (240) 529-1700
## 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:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1831471713, Gaithersburg, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** July 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700237534) · Data from the CMS NPPES public registry.