BRANDON KYLE BOURGOIN (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1215532668
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME
Provider Addresses for BRANDON KYLE BOURGOIN (DPT)
17 IRVING ST APT 201
SACO, ME 040723226
Phone: (207) 631-1166
Type: Mailing
65 PORTLAND RD STE 5
KENNEBUNK, ME 040436742
Phone: (207) 985-6181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210104000898 | I | Physical Therapist In Private Practice | ME | TBD |
| I20250116002365 | I | Physical Therapist In Private Practice | MA | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 848 | 51 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 625 | 52 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 279 | 31 | $0 |
| 97530 | Therapy procedure using functional activities | 71 | 20 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 35 | 29 | $0 |
Insurance plans in this area (ZIP 04072)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Physical Therapist In Private Practice | MA | |
| - | MA | |
| Physical Therapist In Private Practice | NY | |
| - | MA | |
| - | MA | |
| Physical Therapist In Private Practice | MA |
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