DR. MICHAEL PAUL BOURGOIN O.D.
NPI 1720197361
Optometrist in Costa Mesa, CA

Q: What is Michael Bourgoin's NPI number?

The NPI number for Michael Bourgoin is 1720197361. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Michael Bourgoin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bourgoin was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

1835 NEWPORT BLVD, SUITE A-111, COSTA MESA, CA 92627(949) 646-4949(949) 646-2533 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Michael Paul Bourgoin O.d. NPPES

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

DR. MICHAEL PAUL BOURGOIN O.D. (NPI 1720197361) is an individual optometrist in Costa Mesa, California, licensed in California (9870T) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1720197361

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL PAUL BOURGOINCredential: O.D.

Location Address1835 NEWPORT BLVD, SUITE A-111Costa Mesa, CA 92627-5031

Mailing Address1835 Newport Blvd, Suite A-111Costa Mesa, CA 92627-5031 · (949) 646-4949 · Fax (949) 646-2533

Phone(949) 646-4949

Fax(949) 646-2533

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 2, 2007

✔ NPI 1720197361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 9870T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1835 NEWPORT BLVD, Costa Mesa, CA 92627

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Other Identifiers 5

Other1548472921CA · Group Npi

Medicare UPINU77003CA

OtherWOP9870ICA · Ppin

Other9870TCA · Ca Optometry License #

Medicare ID-Type UnspecifiedW19780CA · Group Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Michael Paul Bourgoin O.d. 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 ID1557371739

PECOS Enrollment IDI20060503000323

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

34 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services12 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 9

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

HEALTH ATLAST COSTA MESA

General Practice

1835 NEWPORT BLVD, SUITE D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

DAVID BENNETT

Chiropractor

1835 NEWPORT BLVD, #A109-161
COSTA MESA, CA 92627

Orange County (949) 548-1976

HEALTH AT LAST COSTA MESA, INC

Non-Pharmacy Dispensing Site

1835 NEWPORT BLVD, SUITE D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

DR. JEAN YOO-BOURGOIN O.D.

Optometrist

1835 NEWPORT BLVD, STE E270
COSTA MESA, CA 92627

Orange County (949) 646-4949

CUSTOM EYES OPTOMETRY, INC.

Optometrist

1835 NEWPORT BLVD, SUITE A-111
COSTA MESA, CA 92627

Orange County (949) 646-4949

CHRISTINA STAMM D.C. INC

Chiropractor

1835 NEWPORT BLVD, D251
COSTA MESA, CA 92627

Orange County (949) 515-4006

GARFIELD BEACH CVS LLC

Pharmacy

1835 NEWPORT BLVD
COSTA MESA, CA 92627

Orange County (949) 722-1750

TONYA LYNN PETERS-KAMMERAAD L.C.S.W., NCPSYA

Social Worker (Clinical)

1835 NEWPORT BLVD, SUITE A109-PMB165
COSTA MESA, CA 92627

Orange County (310) 359-8972

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 Michael Bourgoin's NPI number?

The NPI number for Michael Bourgoin is 1720197361. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Michael Bourgoin located?

Michael Bourgoin practices at 1835 Newport Blvd Suite A-111, Costa Mesa, CA 92627. The listed phone number is (949) 646-4949.

What is Michael Bourgoin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Bourgoin enrolled in Medicare?

Yes. Michael Bourgoin 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 Michael Bourgoin accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Bourgoin 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.

When was this NPI record last updated?

The NPPES record for Michael Bourgoin was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.