Individual provider Active NPI

Debra Anne Bourne, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Pittsburgh, PA
National Provider Identifier
1215215629
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
52551 Issued in KY
Practice address
3550 Terrace St
683 Scaife Hall
Pittsburgh, PA 15213-2500
Phone
(412) 383-8986
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MT199736 PA
Surgery of the Hand (Surgery) Physician 2086S0105X 52551 KY
Plastic and Reconstructive Surgery Physician 2086S0122X 52551 KY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 52551 KY Primary

Addresses

Primary practice location

3550 Terrace St
683 Scaife Hall
Pittsburgh, PA 15213-2500

Mailing address

3550 Terrace St
664 Scaife Hall
Pittsburgh, PA 15213-2500
Phone (412) 383-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426002895 AZ Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 8527395425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Shoulder Elbow and Hand Center PCGroup PAC ID 7113905282, 9 clinicians

Practice addresses (Care Compare)

4727 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 290-4263

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT199736PAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Shoulder Elbow & Hand Center PC Surgery of the Hand CurrentSince Jun 1, 2022 Accepting new patients
Sendero Medicine, PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

4727 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 290-4263

Interoperability endpoints

  • Direct secure messaging: dbourne24118@ukhcdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1215215629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TERRACE ST",
            "address_2": "664 SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132500",
            "telephone_number": "412-383-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 TERRACE ST",
            "address_2": "683 SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132500",
            "telephone_number": "412-383-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MT199736",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "52551",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "52551",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "52551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.