DOUGLAS RENE BOURGON M.D.
NPI 1730138876
Radiology - Diagnostic Radiology in San Francisco, CA

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
450 STANYAN ST, SAN FRANCISCO, CA 94117(415) 750-5687 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1730138876
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS RENE BOURGONCredential: M.D.
Location Address450 STANYAN STSan Francisco, CA 94117-1019
Mailing AddressFile 1687, 1801 W Olympic BlvdPasadena, CA 91199-1687 · (415) 750-5687 · Fax (415) 683-5591
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 9, 2015
NPI 1730138876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A85247
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedSpecialistTaxonomy 174400000X · License 985247 (CA)
450 STANYAN ST, San Francisco, CA 94117

Other Identifiers 4

OtherP00248458Railroad Medicare Pin
Medicare PIN00A852471CA
Medicare UPINI11583CA
Medicaid00A852470CA

Accepted 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

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.

PECOS PAC ID3072586403
PECOS Enrollment IDI20040814000226, I20260605001283
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 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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
705 services663 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
319 services313 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
227 services224 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
128 services127 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
116 services116 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
100 services100 patients

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.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

Student in an Organized Health Care Education/Training Program
450 STANYAN ST
SAN FRANCISCO, CA 94117
Physical Medicine & Rehabilitation
450 STANYAN ST
SAN FRANCISCO, CA 94117
Occupational Therapist
450 STANYAN ST
SAN FRANCISCO, CA 94117
Occupational Therapist
450 STANYAN ST
SAN FRANCISCO, CA 94117
Student in an Organized Health Care Education/Training Program
450 STANYAN ST
SAN FRANCISCO, CA 94117
Internal Medicine
450 STANYAN ST
SAN FRANCISCO, CA 94117
Speech-Language Pathologist
450 STANYAN ST
SAN FRANCISCO, CA 94117
Student in an Organized Health Care Education/Training Program
450 STANYAN ST
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.

What insurance does Douglas Bourgon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Douglas Bourgon 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 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.