Matthew Dulles Bourne, DO - Medicare Diagnostic Radiology in Silver Spring, MD

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Matthew Dulles Bourne, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Silver Spring, Maryland. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2019 and has 6 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Avera Mckennan, Plains Radiology Services Llc, Diagnostic Radiology Pc, Radiology Consultants Of Iowa Plc, Southeast Iowa Regional Medical Center Inc, Maryland Imaging Network Pc, Radiant Imaging Inc, Associated Radiologists, Ltd., Reliant Medical Group Inc, Physicians Of Cape Cod Hospital, Trinity Health, Hannibal Regional Healthcare System Inc, Memorial Hospital Of Sheridan County, Hegg Memorial Hospital, Guam Memorial Hospital, Guam Healthcare Development Incorporated, Prairie Du Chien Memorial Hospital Association Inc and his current practice location is 1100 Wayne Ave Ste 1020, Silver Spring, Maryland. You can reach out to his office (for appointments etc.) via phone at (703) 390-9882.

Matthew Dulles Bourne is licensed to practice in Maryland (license number H0100891) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619437779.

Contact Information

Matthew Dulles Bourne, DO
1100 Wayne Ave Ste 1020,
Silver Spring, MD 20910-5643
(703) 390-9882
Not Available

Map and Direction




Physician's Profile

Full NameMatthew Dulles Bourne
GenderMale
SpecialityDiagnostic Radiology
Experience6 Years
Location1100 Wayne Ave Ste 1020, Silver Spring, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Dulles Bourne attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2019
  NPI Data:
  • NPI Number: 1619437779
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 09/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325587264
  • Enrollment ID: I20240823001266

Medical Identifiers

Medical identifiers for Matthew Dulles Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619437779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology DO-06857 (Iowa)Secondary
2085R0202XRadiology - Diagnostic Radiology H0100891 (Maryland)Primary
2085R0202XRadiology - Diagnostic Radiology 21575 (North Dakota)Secondary
2085R0202XRadiology - Diagnostic Radiology 2024039730 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology DO-0133 (Guam)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Guam Regional Medical CityDededo, GUHospital
Mercy Medical Center - Cedar RapidsCedar rapids, IAHospital
Huntington Memorial HospitalPasadena, CAHospital
Hegg Memorial Health CenterRock valley, IAHospital
Northeast Regional Medical CenterKirksville, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103927
Plains Radiology Services Llc185045343257
Diagnostic Radiology Pc226449157055
Radiology Consultants Of Iowa Plc357746785166
Southeast Iowa Regional Medical Center Inc3870496417252
Maryland Imaging Network Pc610325930459
Radiant Imaging Inc711314555864
Associated Radiologists, Ltd.812300994134
Reliant Medical Group Inc5597755322573
Physicians Of Cape Cod Hospital9638326671270
Trinity Health7911816020283
Hannibal Regional Healthcare System Inc1254236300227
Memorial Hospital Of Sheridan County216340544064
Hegg Memorial Hospital519371875731
Guam Memorial Hospital5890781694113
Guam Healthcare Development Incorporated9234351776174
Prairie Du Chien Memorial Hospital Association Inc498169853729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Dulles Bourne allows following entities to bill medicare on his behalf.
Entity NameRadiology Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285735571
PECOS PAC ID: 9032195128
Enrollment ID: O20181107002838
Entity NameGrand Island Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932136405
PECOS PAC ID: 7719978261
Enrollment ID: O20191113000197
Entity NamePlains Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164677126
PECOS PAC ID: 1850453432
Enrollment ID: O20191121000391
Entity NameLeconte Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447210109
PECOS PAC ID: 1850373705
Enrollment ID: O20210325002724
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20210901000449
Entity NameAssociated Radiologists, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215931290
PECOS PAC ID: 8123009941
Enrollment ID: O20210907002035
Entity NameDiagnostic Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497713291
PECOS PAC ID: 2264491570
Enrollment ID: O20220914002736
Entity NameMaryland Imaging Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487296471
PECOS PAC ID: 6103259304
Enrollment ID: O20221130002395
Entity NameGreat Plains Radiology & Nuclear Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427089838
PECOS PAC ID: 2062310899
Enrollment ID: O20230202002384
Entity NameAllen Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346292521
PECOS PAC ID: 4284546045
Enrollment ID: O20230414000075
Entity NameRadiologic Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023061702
PECOS PAC ID: 3577451491
Enrollment ID: O20231010001503
Entity NameMahaska County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407869852
PECOS PAC ID: 2769388677
Enrollment ID: O20240222000916
Entity NameRadiant Imaging Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437583200
PECOS PAC ID: 7113145558
Enrollment ID: O20240509000523
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053680678
PECOS PAC ID: 0345157103
Enrollment ID: O20240520000663
Entity NameValley Radiology P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093723538
PECOS PAC ID: 0749181089
Enrollment ID: O20241022002854
Entity NameRadiology Consultants Of Iowa Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750387999
PECOS PAC ID: 3577467851
Enrollment ID: O20250204003136
Entity NameX-ray Associates Of New Mexico Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235105800
PECOS PAC ID: 6709879430
Enrollment ID: O20250408003923

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Dulles Bourne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew Dulles Bourne, DO
201 E University Pkwy Dept Of,
Baltimore, MD 21218-2829

Ph: (410) 554-2284		Matthew Dulles Bourne, DO
1100 Wayne Ave Ste 1020,
Silver Spring, MD 20910-5643

Ph: (703) 390-9882

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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