ELAINE P. BOURDEAU (O.D.) – Optometrist, NPI 1164503876

ELAINE P. BOURDEAU (O.D.) is a healthcare provider. based in Lansdowne, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618-000960 (VA). The NPI Number for ELAINE P. BOURDEAU (O.D.) is 1164503876

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ELAINE P. BOURDEAU (O.D.)
NPI
1164503876
Phone
(703) 858-9800
Address
19441 GOLF VISTA PLZ
Enumeration Date
18 October 2006
Last Update Date
4 November 2016

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7038589800
Graduation Year
1996 (30 years ago)
PAC ID
3678601879
Group Practice PAC ID
5092760280
Professional Enrollment ID
I20100510000064
Address ID
VA201768272LA19441PLZX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for ELAINE P. BOURDEAU (O.D.)

  • 19441, Golf Vista Plaza, Lansdowne Executive Center, Leesburg, Loudoun County, Virginia, 20176, United States

    SUITE 320

    LANSDOWNE, VA 201768269

    Phone: (703) 858-9800

    Fax: (703) 858-9801

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($188).

Total Amount

$444

General + Research + Ownership

Payments

19

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

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: 2010-05-10

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
I20100510000064IOptometryVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes342246$0
92014Established patient complete exam of visual system329314$0
92133Imaging of optic nerve207198$0
92083Exam of visual field with extended testing177143$0
92134Imaging of retina155148$0
View full utilization report →

Insurance plans in this area (ZIP 20176)

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Provider's Procedures

ELAINE P. BOURDEAU (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92012Eye and medical examination for diagnosis and treatment, established patient196137

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: 5092760280View full group profile
NameSpecialtyState
O P H T H A L M O L O G YSC
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

How do I look up ELAINE P. BOURDEAU (O.D.) by NPI?
Use NPI 1164503876 when you need to reference ELAINE P. BOURDEAU (O.D.) in forms, claims, or directories.
Does this profile mean ELAINE P. BOURDEAU (O.D.) is currently active?
Yes — ELAINE P. BOURDEAU (O.D.) appears active in the national provider directory.
Does ELAINE P. BOURDEAU (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for ELAINE P. BOURDEAU (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for ELAINE P. BOURDEAU (O.D.)?
We surface Lansdowne, Virginia for ELAINE P. BOURDEAU (O.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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