MICHAEL HAL BOURNE JR. MD
NPI 1881030443
Internal Medicine - Pulmonary Disease in Salt Lake City, UT

Active since May 22, 2013PECOS EnrolledAccepts Medicare Assignment
1160 E 3900 S STE 4050, SALT LAKE CITY, UT 84124(801) 266-3418 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Nov 22, 2021, Aug 30, 2019 and 2 more (5 updates tracked since 2019).

About Michael Hal Bourne Jr. Md NPPES

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

MICHAEL HAL BOURNE JR. MD (NPI 1881030443) is an individual pulmonary disease provider in Salt Lake City, Utah, licensed in Utah (12857513-1205) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881030443
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL HAL BOURNE JR.Credential: MD
Location Address1160 E 3900 S STE 4050Salt Lake City, UT 84124-1264
Mailing AddressPo Box 741729Atlanta, GA 30374-1729
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 22, 2013
Last NPPES UpdateJune 11, 20245 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1881030443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in UT · 12857513-1205
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 12857513-1205 (UT)
1160 E 3900 S STE 4050, Salt Lake City, UT 84124

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

Michael Hal Bourne Jr. 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 ID1951549948
PECOS Enrollment IDI20240624003889
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 16

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.
233 services222 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
110 services109 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
107 services106 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
102 services101 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.
70 services57 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services44 patients

Hospital Affiliations CMS Care Compare 3

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers19 claims19 services$35.35 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers13 claims25 services$1.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers14 claims14 services$83.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers12 claims34 services$30.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims67 services$14.31 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers13 claims13 services$46.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Pulmonary Disease)
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Orthopaedic Surgery
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Physical Medicine & Rehabilitation
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Physical Therapist (Orthopedic)
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Physician Assistant (Surgical)
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Physical Medicine & Rehabilitation
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124
Physical Medicine & Rehabilitation
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124

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 Michael Bourne's NPI number?

The NPI number for Michael Bourne is 1881030443. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Michael Bourne located?

Michael Bourne practices at 1160 E 3900 S Ste 4050, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Michael Bourne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Bourne enrolled in Medicare?

Yes. Michael Bourne 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 Michael Bourne accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Moda Health Plan, Inc., Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Michael Bourne 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 Michael Bourne affiliated with any hospitals?

According to CMS data, Michael Bourne is affiliated with St Mark's Hospital, Holy Cross Hospital-Jordan Valley and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bourne was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.