DR. MICHAEL RAY BOURNE (MD) – Podiatrist, NPI 1164412649
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Loading map...
Provider Addresses for DR. MICHAEL RAY BOURNE (MD)
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MINNEAPOLIS, MN 554254516
Phone: (651) 439-1234
Type: Mailing
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
Stillwater Clinic, 1500, Curve Crest Boulevard West, Stillwater, Washington County, Minnesota, 55082, United States
STILLWATER, MN 550826040
Phone: (651) 439-1234
Fax: (651) 275-3325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Stryker Corporation ($95).
Total Amount
$95
General + Research + Ownership
Payments
1
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $95 |
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: 2005-04-04
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 |
|---|---|---|---|---|
| I20050328000193 | I | Podiatry | MN | TBD |
| I20050404000927 | I | Podiatry | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 125 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 76 | 76 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 44 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 25 | $0 |
| 20550 | Injection into tendon or ligament | 21 | 11 | $0 |
Insurance plans in this area (ZIP 55425)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Medicine And Rehabilitation | MN | |
| Orthopedic Surgery | MN | |
| Occupational Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.