DR. KELSEY BOURM MD
NPI 1942646443
Radiology - Diagnostic Radiology in San Diego, CA

Active since May 12, 2013PECOS EnrolledAccepts Medicare Assignment
76.19/100
CMS Quality Rating
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-2218 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Oct 19, 2018, Jun 21, 2018 (3 updates tracked since 2018).

About Dr. Kelsey Bourm Md NPPES

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

DR. KELSEY BOURM MD (NPI 1942646443) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A153296) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and is a graduate of University Of Oklahoma College Of Medicine (2013).

NPPES Registry Identity

NPI1942646443
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KELSEY BOURMCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · Fax (316) 685-9388
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2013
Enumeration DateMay 12, 2013
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1942646443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A153296
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ARBOR DR, San Diego, CA 92103

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

Dr. Kelsey Bourm 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 ID1759522089
PECOS Enrollment IDI20190611003826
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 66

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,390 services13 patients
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.
974 services864 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.
326 services318 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
180 services159 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.
147 services145 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.
123 services118 patients

Hospital Affiliations CMS Care Compare 4

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

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170020
Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County
Emergency services Birthing friendly

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

William Newton Hospital

Critical Access Hospitals · Winfield, KS
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171383
Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County
Emergency services Birthing friendly

Coffey County Hospital

Critical Access Hospitals · Burlington, KS
OwnershipGovernment - Local
CMS Certification Number171385
Location801 N Fourth StreetBurlington, KS 66839 · Coffey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

76.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.47
Promoting Interoperability100
Improvement Activities40
Cost41.17

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Kelsey Bourm's NPI number?

The NPI number for Kelsey Bourm is 1942646443. It was assigned to this individual provider in the NPPES registry on May 12, 2013.

Where is Kelsey Bourm located?

Kelsey Bourm practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-2218.

What is Kelsey Bourm's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kelsey Bourm enrolled in Medicare?

Yes. Kelsey Bourm 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 Kelsey Bourm accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kelsey Bourm 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 Kelsey Bourm affiliated with any hospitals?

According to CMS data, Kelsey Bourm is affiliated with Hutchinson Regional Medical Center Inc, Wesley Medical Center, William Newton Hospital and Coffey County Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Bourm was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.