DR. ROBERT B BOURNE (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1487646998
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
Provider Addresses for DR. ROBERT B BOURNE (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303840253
Phone:
Type: Mailing
1160 E 3900 S STE 5000
SALT LAKE CITY, UT 841241275
Phone: (801) 262-8486
Fax: (801) 261-7429
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Medtronic, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050915001035 | I | Internal Medicine | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,440 | 22 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 575 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 309 | 191 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 178 | 178 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 159 | 110 | $0 |
Insurance plans in this area (ZIP 30384)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | UT | 73110 | X-ray of wrist, minimum of 3 views | 19 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | UT | |
| Orthopedic Surgery | NV | |
| Physician Assistant | UT | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | TX | |
| General Surgery | GA | |
| Orthopedic Surgery | UT | |
| General Surgery | UT | |
| Physician Assistant | UT |
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