BRANDON ELLIOTT BOURGEOUS (MD) – Obstetrics & Gynecology Physician, NPI 1669476602
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
359 OBSTETRICS/GYNECOLOGY in IA
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Provider Addresses for BRANDON ELLIOTT BOURGEOUS (MD)
788, 8th Avenue Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52401, United States
SUITE 100
CEDAR RAPIDS, IA 524012107
Phone: (319) 363-2682
Fax: (319) 363-1473
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $706.
Total Amount is formed as General ($706) + Research ($0) + Ownership ($0) = $706.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Caldera Medical, Inc ($302).
Total Amount
$706
General + Research + Ownership
Payments
22
Total payment records
General Amount
$706
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Caldera Medical, Inc | $302 |
| Astellas Pharma US Inc | $109 |
| PFIZER INC. | $54 |
| CooperSurgical, Inc. | $51 |
| ABBVIE INC. | $46 |
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: 2010-05-15
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 |
|---|---|---|---|---|
| I20100515000084 | I | Obstetrics/Gynecology | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 52401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | IA | 76830 | Ultrasound pelvis through vagina | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IA | |
| P S Y C H I A T R Y | WY | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IA | |
| P S Y C H I A T R Y | IL | |
| Internal Medicine | IA | |
| Nurse Practitioner | IA | |
| - | IA |
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