DR. KEITH ALAN BOURGEOIS (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1457312183

DR. KEITH ALAN BOURGEOIS (M.D.) is a healthcare provider. based in Houston, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. G7625 (TX). The NPI Number for DR. KEITH ALAN BOURGEOIS (M.D.) is 1457312183

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH ALAN BOURGEOIS (M.D.)
NPI
1457312183
Phone
(713) 566-5100
Address
5656 Kelley St
Enumeration Date
31 March 2006
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7136500391
Graduation Year
1983 (43 years ago)
PAC ID
9133223753
Group Practice PAC ID
0345403507
Professional Enrollment ID
I20100830001006
Address ID
TX770028232HO1315XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. KEITH ALAN BOURGEOIS (M.D.)

  • 5656 Kelley St

    Houston, TX 770261967

    Phone: (713) 566-5100

    Fax: (713) 599-8244

    Type: Location

  • 1315, Saint Joseph Parkway, Houston, Harris County, Texas, 77002, United States

    SUITE 1601

    HOUSTON, TX 770028233

    Phone: (713) 650-0391

    Fax: (713) 650-0395

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($81).

Total Amount

$278

General + Research + Ownership

Payments

11

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100830001006IOphthalmologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina994490$0
67028Injection of drug into eye631137$0
J7999Compounded drug, not otherwise classified532118$0
92012Established patient problem focused exam of visual system532301$0
J0178Injection, aflibercept, 1 mg21626$0
View full utilization report →

Insurance plans in this area (ZIP 77026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345403507View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Does DR. KEITH ALAN BOURGEOIS (M.D.) have a public NPI I can cite?
Public records show DR. KEITH ALAN BOURGEOIS (M.D.) under NPI 1457312183.
Should I treat DR. KEITH ALAN BOURGEOIS (M.D.) as an active provider?
Patients and plans typically see DR. KEITH ALAN BOURGEOIS (M.D.) as active in the national extract.
What does the directory say DR. KEITH ALAN BOURGEOIS (M.D.) does?
Insurance directories may phrase it differently, but here DR. KEITH ALAN BOURGEOIS (M.D.) maps to Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KEITH ALAN BOURGEOIS (M.D.)?
The directory associates DR. KEITH ALAN BOURGEOIS (M.D.) with Houston, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. KEITH ALAN BOURGEOIS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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