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Active NPI 1720197361 Individual Practitioner Male Practitioner

Dr. Michael Paul Bourgoin , OD

Optometrist • Costa Mesa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bourgoin, OD is a certified Optometrist practicing in Costa Mesa, CA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Bourgoin delivers high-quality medical care to the local community at 1835 NEWPORT BLVD.

Dr. Bourgoin is affiliated with Custom Eyes Optometry Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1835 Newport Blvd
Suite A-111

Costa Mesa, CA 926275031

Telephone 9496464949
Fax 9496462533
Associated Practice Facility / Clinic
🏢 Garfield Beach Cvs Llc Facility NPI 1851335103

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Costa Mesa, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +11.4 yrs vs City Avg
City Avg: 22.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Costa Mesa, CA (8588 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourgoin (34 Years) 34 Yrs
Costa Mesa Specialty Average (22.6 Years) 22.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
34 34 $165.00 $139.58
99213 Established patient office or other outpatient visit, typically 15 minutes
16 12 $115.00 $98.55
92004 New patient complete exam of visual system
13 13 $190.00 $164.33

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 9870T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi
1548472921 (CA)
Commercial Insurance / Payer ID Ca Optometry License #
9870T (CA)
Commercial Insurance / Payer ID Ppin
WOP9870I (CA)

Hospital & Practice Group Affiliations

Custom Eyes Optometry Inc

1835 Newport Blvd, Costa Mesa, CA 926275014

Phone: 9496464949

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1457495913

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 1835 NEWPORT BLVD, SUITE A-111, COSTA MESA, CA 926275031 (Tel: 9496464949)

📍
Updated Business Mailing Address November 02, 2007

Registered at 1835 NEWPORT BLVD, SUITE A-111, COSTA MESA, CA 926275031 (Tel: 9496464949)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as MICHAEL BOURGOIN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Optometrist (License #9870T in CA)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720197361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: November 02, 2007
Sole Proprietor: No

Mailing Address

1835 Newport Blvd, Suite A-111

Costa Mesa, CA 926275031

Phone: 9496464949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.