DOUGLAS RENE BOURGON M.D.
NPI 1730138876
Radiology - Diagnostic Radiology in San Francisco, CA
About Douglas Rene Bourgon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS RENE BOURGON M.D. (NPI 1730138876) is an individual diagnostic radiology provider in San Francisco, California, licensed in California (A85247) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
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
Douglas Rene Bourgon M.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.
Medicare Billing Reassignments
4Medicare enrollment records show Douglas Bourgon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94117
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
San Francisco, CA 94117
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Lakewood, CO 80228
- Reassigned Medicare billing, California and Oregon enrollments
- 5 clinicians in this Medicare group
Orange Park, FL 32073
- Reassigned Medicare billing, California enrollment
- 21 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.
Areas of Expertise CMS Part B claims 46
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94117
SAN FRANCISCO, CA 94117
SAN FRANCISCO, CA 94117
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 Douglas Bourgon's NPI number?
The NPI number for Douglas Bourgon is 1730138876. It was assigned to this individual provider in the NPPES registry on May 8, 2006.
Where is Douglas Bourgon located?
Douglas Bourgon practices at 450 Stanyan St, San Francisco, CA 94117. The listed phone number is (415) 750-5687.
What is Douglas Bourgon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Douglas Bourgon enrolled in Medicare?
Yes. Douglas Bourgon 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 organizations bill Medicare for Douglas Bourgon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Bourgon reassigns Medicare benefits to 4 organizations: Image Guided Therapeutics, Inc. (San Francisco, CA), Dignity Health Medical Foundation (San Francisco, CA), Colorado Imaging Associates P C (Lakewood, CO) and Elite Imaging LLC (Orange Park, FL). Each 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 Douglas Bourgon'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 Douglas Bourgon was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.