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 Col Of Osteo Med At Seton Hill Univ and graduated in 2019 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Lincoln Radiology Group P C, Radiology Consultants Ltd, Cumberland County Hospital System Inc, Hegg Memorial Hospital, Guam Healthcare Development Incorporated, Memorial Hospital Of Sheridan County, Big Horn Health Network, Lincoln Radiology Group P C, Chickasaw Nation Division Of Health Chickasaw Nation Medical Center, Prosser Public Hospital District Of Benton County, Otero County Hospital Association, Physicians Of Cape Cod Hospital, Riverbend Medical Group Inc, Avera Mckennan, Diagnostic Radiology Pc, Radiologic Medical Services Pc, Allen Memorial Hospital Corporation, X-ray Associates Of New Mexico Pc, Radiant Imaging Inc, Associated Radiologists Ltd, Physicians Of Cape Cod Hospital, Mahaska County Hospital, Plains Radiology Services Llc, Grand Island Radiology Associates Pc, Medstar Medical Group Ii Llc, Reliant Medical Group Inc, Columbus Regional Healthcare System, Scotland Memorial Hospital, Inc, Guam Memorial Hospital, Hannibal Regional Healthcare System 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for 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
Experience7 Years
Location1100 Wayne Ave Ste 1020, Silver Spring, Maryland
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Dulles Bourne attended and graduated from Lake Erie Col Of Osteo Med At Seton Hill Univ 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: I20250321003185

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
University Of Iowa Health Care Medical Center DownIowa city, IAHospital
Guam Regional Medical CityDededo, GUHospital
Huntington HospitalPasadena, CAHospital
Mercy Medical Center - Cedar RapidsCedar rapids, IAHospital
St Lukes HospitalCedar rapids, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lincoln Radiology Group P C711390258647
Radiology Consultants Ltd903219512835
Cumberland County Hospital System Inc1850204041581
Hegg Memorial Hospital519371875744
Guam Healthcare Development Incorporated9234351776211
Memorial Hospital Of Sheridan County216340544090
Big Horn Health Network125447648484
Lincoln Radiology Group P C711390258647
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center8426957523243
Prosser Public Hospital District Of Benton County6709787872111
Otero County Hospital Association3173516606245
Physicians Of Cape Cod Hospital9638326671330
Riverbend Medical Group Inc5698064343227
Avera Mckennan0345157103957
Diagnostic Radiology Pc226449157065
Radiologic Medical Services Pc357745149129
Allen Memorial Hospital Corporation4284546045149
X-ray Associates Of New Mexico Pc670987943053
Radiant Imaging Inc711314555865
Associated Radiologists Ltd812300994138
Physicians Of Cape Cod Hospital9638326671330
Mahaska County Hospital2769388677128
Plains Radiology Services Llc185045343261
Grand Island Radiology Associates Pc771997826144
Medstar Medical Group Ii Llc05474138253726
Reliant Medical Group Inc5597755322638
Columbus Regional Healthcare System2961312228120
Scotland Memorial Hospital, Inc0648208504259
Guam Memorial Hospital5890781694132
Hannibal Regional Healthcare System Inc1254236300256

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 NameMedstar Medical Group II LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347
Entity NamePhysician Imaging of Washington Hospital Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831385871
PECOS PAC ID: 6204910292
Enrollment ID: O20160407000340
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20250326000982
Entity NameDiagnostic Radiology of Anderson PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922125269
PECOS PAC ID: 3173559945
Enrollment ID: O20250926004482
Entity NamePhysicians of Cape Cod Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679832364
PECOS PAC ID: 9638326671
Enrollment ID: O20260225002999

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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