MEREDITH BOURDEAU PA-C, ATC
NPI 1962818013
Physician Assistant in Bronxville, NY

Q: What is Meredith Bourdeau's NPI number?

The NPI number for Meredith Bourdeau is 1962818013. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Meredith Bourdeau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Meredith Bourdeau was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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

79.07/100

CMS Quality Rating

55 PALMER AVE, BRONXVILLE, NY 10708(802) 272-6078 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 7, 2021, Jan 10, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Meredith Bourdeau Pa-c, Atc NPPES

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

MEREDITH BOURDEAU PA-C, ATC (NPI 1962818013) is an individual physician assistant in Bronxville, New York, licensed in Connecticut (4118) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962818013

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMEREDITH BOURDEAUCredential: PA-C, ATC

Location Address55 PALMER AVEBronxville, NY 10708-3403

Mailing Address305 Columbus AveWest Harrison, NY 10604-2100 · (802) 272-6078

Phone(802) 272-6078

Sole ProprietorNo

Enumeration DateJuly 9, 2014

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1962818013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CT · 4118

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 002025-1 (NY)

55 PALMER AVE, Bronxville, NY 10708

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Bourdeau Pa-c, Atc 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.

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10708 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

79.07/100

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

Scored as part of a group practice

Quality

73.19

Promoting Interoperability

Improvement Activities

Cost

57.89

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.

RUTH TYAN NP

Nurse Practitioner