DR. MICHAEL V BOURN (DO) – Addiction Medicine (Preventive Medicine) Physician, NPI 1548292519
Addiction Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL V BOURN (DO)
1161 BETHEL RD STE 203
COLUMBUS, OH 432202773
Phone: (614) 459-0350
Fax: (614) 456-0355
Type: Mailing
5368 STOCKTON CT
POWELL, OH 430658602
Phone: (614) 598-6588
Type: Mailing
3535 Olentangy River Rd
Columbus, OH 432143908
Phone: (614) 566-5000
Type: Location
560 N Main St
Marion, OH 433022331
Phone: (513) 834-7063
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Indivior Inc. ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $50 |
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: 2010-06-21
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 |
|---|---|---|---|---|
| I20100621000181 | I | Hospice/Palliative Care | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH |
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