JANA L BOURN (MD) – Family Medicine Physician, NPI 1821204124
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for JANA L BOURN (MD)
PO BOX 418
WAUSEON, OH 435670418
Phone: (419) 335-7921
Fax: (419) 337-5988
Type: Mailing
495, South Shoop Avenue, Wauseon, Fulton County, Ohio, 43567, United States
WAUSEON, OH 435671719
Phone: (419) 335-7921
Fax: (419) 337-5988
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: ABBVIE INC. ($34).
Total Amount
$84
General + Research + Ownership
Payments
3
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $34 |
| Corium, LLC | $34 |
| Bayer Healthcare Pharmaceuticals Inc. | $16 |
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: 2008-01-09
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 |
|---|---|---|---|---|
| I20080109000639 | I | Family Practice | 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.
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 | 529 | 235 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 310 | 174 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 136 | 136 | $0 |
| 83036 | Hemoglobin a1c level | 102 | 64 | $0 |
| G0008 | Administration of influenza virus vaccine | 94 | 90 | $0 |
Insurance plans in this area (ZIP 43567)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Interventional Radiology | OH | |
| Radiation Oncology | OH | |
| Qualified Audiologist | OH | |
| Gastroenterology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| Orthopedic Surgery | OH | |
| - | IN |
Reviews
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