DR. TINA BOURGOIN D.M.D.
NPI 1942616198
Dentist in Machias, ME

Q: What is Tina Bourgoin's NPI number?

The NPI number for Tina Bourgoin is 1942616198. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Tina Bourgoin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Bourgoin was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 09, 2014PECOS Enrolled

271 MAIN ST, MACHIAS, ME 04654(207) 255-8601(207) 255-8694 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Tina Bourgoin D.m.d. NPPES

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

DR. TINA BOURGOIN D.M.D. (NPI 1942616198) is an individual dentist in Machias, Maine, licensed in Maine (4383) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942616198

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. TINA BOURGOINCredential: D.M.D.

Location Address271 MAIN STMachias, ME 04654-3606

Mailing Address271 Main StMachias, ME 04654-3606 · (207) 255-8601 · Fax (207) 255-8694

Phone(207) 255-8601

Fax(207) 255-8694

Sole ProprietorNo

Enumeration DateJuly 9, 2014

✔ NPI 1942616198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ME · 4383

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

271 MAIN ST, Machias, ME 04654

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tina Bourgoin D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tina Bourgoin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indian Township Tribal Government

35 mi

Federally Qualified Health Center (FQHC)

401 PETER DANA POINT ROAD
Princeton, ME 04668

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1205952140 (207) 796-2321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04654 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

Other Providers at the Same Location NPPES

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

DR. WYATT STEPHEN JONES DDS

Dentist

271 MAIN ST
MACHIAS, ME 04654

Washington County (207) 255-8601

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 Tina Bourgoin's NPI number?

The NPI number for Tina Bourgoin is 1942616198. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Tina Bourgoin located?

Tina Bourgoin practices at 271 Main St, Machias, ME 04654. The listed phone number is (207) 255-8601.

What is Tina Bourgoin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tina Bourgoin enrolled in Medicare?

Yes. Tina Bourgoin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Bourgoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Bourgoin reassigns Medicare benefits to Indian Township Tribal Government (Princeton, ME). The 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 Tina Bourgoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Bourgoin accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Tina Bourgoin 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 Tina Bourgoin was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.