Individual provider Active NPI

Bourck D Cashmore, MD

  • Orthopaedic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1225009707
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30819 Issued in AZ
Practice address
1840 N Jasper Dr Ste 2
Flagstaff, AZ 86001-1634
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30819 AZ
Orthopaedic Surgery Physician 207X00000X 30819 AZ Primary

Addresses

Primary practice location

1840 N Jasper Dr Ste 2
Flagstaff, AZ 86001-1634

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
727381MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041119000518 AZ Practitioner - Orthopedic Surgery 8729043617 Reassigns benefits to 1 organization
I20250403000500 TX Practitioner - Orthopedic Surgery 8729043617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Hospital & facility affiliations

  • Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Little Colorado Medical Center Hospital, Winslow, AZ, CCN 031311

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement88
Knee replacement91
Lower limb (leg) arthroscopy (minimally invasive joint repair)31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Jan 26, 2025 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Feb 12, 2021 Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery CurrentSince Feb 12, 2021 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jan 26, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Orthopaedic Surgery Current Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

1840 N Jasper Dr
Ste 3
Flagstaff, AZ 86001

1485 N Turquoise Dr
Ste 200
Flagstaff, AZ 86001
Phone (928) 774-7757

1840 N Jasper Dr
Ste 2
Flagstaff, AZ 86001
Phone (928) 226-2900

4830 Highway 260
Ste 103
Lakeside, AZ 85929
Phone (928) 532-5227

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

3200 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 226-2900

95 Soldiers Pass Rd
Ste B1
Sedona, AZ 86336
Phone (928) 204-4900

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Interoperability endpoints

  • Direct secure messaging: bourck.cashmore.1@22724.direct.athenahealth.com

Organizations & group practices 6

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 10

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1225009707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N JASPER DR STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011634",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMORE",
        "first_name": "BOURCK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30819",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "30819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.