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DUSTIN DEBOURGE MSN, AGNP-BC
NPI 1720688914
Nurse Practitioner - Gerontology in Columbia, MO

Active since October 28, 2020PECOS Enrolled
6 LUCERNE CT, COLUMBIA, MO 65203(537) 303-8025 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Oct 28, 2020 (2 updates tracked since 2020).

About Dustin Debourge Msn, Agnp-bc NPPES

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

DUSTIN DEBOURGE MSN, AGNP-BC (NPI 1720688914) is an individual gerontology provider in Columbia, Missouri, licensed in Missouri (2020038126) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720688914
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameDUSTIN DEBOURGECredential: MSN, AGNP-BC
Location Address6 LUCERNE CTColumbia, MO 65203-2931
Mailing Address785 Elkridge Landing Rd Ste 300Linthicum Heights, MD 21090-2958 · (443) 275-9800 · Fax (844) 469-0955
Phone(537) 303-8025
Sole ProprietorNo
Enumeration DateOctober 28, 2020
Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1720688914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2020038126
6 LUCERNE CT, Columbia, MO 65203
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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)

Dustin Debourge Msn, Agnp-bc 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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
67 services38 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services19 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
32 services21 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
28 services22 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
26 services22 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Dustin Debourge's NPI number?

The NPI number for Dustin Debourge is 1720688914. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Dustin Debourge located?

Dustin Debourge practices at 6 Lucerne Ct, Columbia, MO 65203. The listed phone number is (537) 303-8025.

What is Dustin Debourge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dustin Debourge enrolled in Medicare?

Yes. Dustin Debourge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Debourge was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.