DR. KATHERINE ELIZABETH BOURBEAU-MEDINILLA MD
NPI 1790245116
Internal Medicine in Colton, CA

Q: What is Katherine Bourbeau-medinilla's NPI number?

The NPI number for Katherine Bourbeau-medinilla is 1790245116. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Katherine Elizabeth Bourbeau MD.

Q: What is Katherine Bourbeau-medinilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2021, Mar 21, 2019 (2 updates tracked since 2019).

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About Dr. Katherine Elizabeth Bourbeau-medinilla Md NPPES

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

DR. KATHERINE ELIZABETH BOURBEAU-MEDINILLA MD (NPI 1790245116) is an individual internal medicine provider in Colton, California, licensed in California (178058) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790245116

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KATHERINE ELIZABETH BOURBEAU-MEDINILLACredential: MD

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 27, 20222 updates tracked since enumeration

NPPES CertifiedJune 27, 2022

✔ NPI 1790245116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CA · 178058✔ Licensed in CA · PTL39

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

400 N PEPPER AVE, Colton, CA 92324

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Other Names 1

Former Name (1)Katherine Elizabeth Bourbeau Md

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. Katherine Elizabeth Bourbeau-medinilla 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.

PECOS PAC ID6709203177

PECOS Enrollment IDI20220705001289

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 2

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

185 services120 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.

63 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$11.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier18 claims18 services$57.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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