DR. TONYA K BOURN O.D.
NPI 1851340152
Optometrist in Creve Coeur, MO

Q: What is Tonya Bourn's NPI number?

The NPI number for Tonya Bourn is 1851340152. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Q: What is Tonya Bourn'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 Tonya Bourn was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment

93.86/100

CMS Quality Rating

12101 WOODCREST EXECUTIVE DR STE 150, CREVE COEUR, MO 63141(314) 863-9966 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Apr 29, 2024, Aug 16, 2023 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Tonya K Bourn O.d. NPPES

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

DR. TONYA K BOURN O.D. (NPI 1851340152) is an individual optometrist in Creve Coeur, Missouri, licensed in Illinois (046008999) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851340152

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. TONYA K BOURNCredential: O.D.

Location Address12101 WOODCREST EXECUTIVE DR STE 150Creve Coeur, MO 63141-5050

Mailing Address12101 Woodcrest Executive Dr Ste 150Saint Louis, MO 63141-5050 · (314) 391-9400 · Fax (618) 861-6003

Phone(314) 863-9966

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1997

Enumeration DateMay 6, 2006

Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1851340152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in IL · 046008999✔ Licensed in MO · 2019047752

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.

12101 WOODCREST EXECUTIVE DR STE 150, Creve Coeur, MO 63141

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1705 Insight AveO Fallon, IL 62269-2146 · Phone (618) 391-1660 · Fax (618) 861-6003

Location 21 Professional DrAlton, IL 62002-5068 · Phone (618) 391-1660 · Fax (618) 861-6003

Location 312400 Olive BlvdSaint Louis, MO 63141-5454 · Phone (314) 391-9400 · Fax (618) 861-6003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Tonya K Bourn 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 ID8527017664

PECOS Enrollment IDI20050117000088, I20200820001402

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 13

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

4,230 services30 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.

333 services254 patients

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.

179 services152 patients

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.

61 services61 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

61 services57 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

59 services54 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

53 services48 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

52 services51 patients

Analysis of substance using immunoassay technique, multiple step method 83516

This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.

43 services41 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services27 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

26 services13 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

93.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

79.54

Other Providers at the Same Location NPPES 3

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

MR. LAWRENCE A GANS M.D.

Ophthalmology

12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141

St. Louis County (314) 863-9966

SUREVISION EYE CENTERS MIDWEST LLC

Ophthalmology

12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141

St. Louis County (314) 921-2020

SUREVISION EYE CENTERS MIDWEST LLC

Durable Medical Equipment & Medical Supplies

12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141

St. Louis County (314) 921-2020

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 Tonya Bourn's NPI number?

The NPI number for Tonya Bourn is 1851340152. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Tonya Bourn located?

Tonya Bourn practices at 12101 Woodcrest Executive Dr Ste 150, Creve Coeur, MO 63141. The listed phone number is (314) 863-9966.

What is Tonya Bourn's specialty?

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

Is Tonya Bourn enrolled in Medicare?

Yes. Tonya Bourn 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 Tonya Bourn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Tonya Bourn 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.

Is Tonya Bourn affiliated with any hospitals?

According to CMS data, Tonya Bourn is affiliated with Alton Memorial Hospital and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Bourn was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.