DR. TONYA K BOURN (O.D.) – Optometrist, NPI 1851340152

DR. TONYA K BOURN (O.D.) is a healthcare provider. based in Springfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008999 (IL). The NPI Number for DR. TONYA K BOURN (O.D.) is 1851340152

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. TONYA K BOURN (O.D.)
NPI
1851340152
Phone
(217) 303-8600
Address
4000 WESTGATE DR STE B
Enumeration Date
6 May 2006
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3143919400
Graduation Year
1997 (29 years ago)
PAC ID
8527017664
Group Practice PAC ID
7315200888
Professional Enrollment ID
I20200820001402
Address ID
MO631415436CR12400BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. TONYA K BOURN (O.D.)

  • 4000 WESTGATE DR STE B

    SPRINGFIELD, IL 627117066

    Phone: (217) 303-8600

    Fax: (217) 303-5950

    Type: Mailing

  • 705 Insight Ave

    O Fallon, IL 622692146

    Phone: (618) 391-1660

    Fax: (618) 861-6003

    Type: Location

  • 1 Professional Dr

    Alton, IL 620025068

    Phone: (618) 391-1660

    Fax: (618) 861-6003

    Type: Location

  • 12400 Olive Blvd

    Saint Louis, MO 631415454

    Phone: (314) 391-9400

    Fax: (618) 861-6003

    Type: Location

  • 12101 WOODCREST EXECUTIVE DR STE 150

    CREVE COEUR, MO 631415050

    Phone: (314) 863-9966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $2,585.

Total Amount is formed as General ($2,585) + Research ($0) + Ownership ($0) = $2,585.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($694).

Total Amount

$2,585

General + Research + Ownership

Payments

98

Total payment records

General Amount

$2,585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050117000088IOptometryILTBD
I20200820001402IOptometryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens2,07020$0
99213Established patient office or other outpatient visit, 20-29 minutes284212$0
83861Microfluid analysis of tears16477$0
99214Established patient office or other outpatient visit, 30-39 minutes13398$0
92014Established patient complete exam of visual system118118$0
View full utilization report →

Insurance plans in this area (ZIP 62711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315200888View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

What is DR. TONYA K BOURN (O.D.)'s NPI number?
DR. TONYA K BOURN (O.D.)'s NPI is 1851340152 — the number used across U.S. healthcare to identify this provider.
Would DR. TONYA K BOURN (O.D.) appear as active to a payer?
You can treat DR. TONYA K BOURN (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. TONYA K BOURN (O.D.)?
DR. TONYA K BOURN (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TONYA K BOURN (O.D.)?
Travel planning: use Springfield, Illinois as the reference point for DR. TONYA K BOURN (O.D.), then confirm.
When was this NPI issued?
Enumeration for DR. TONYA K BOURN (O.D.) is noted as May 6, 2006 where the registry provides it.