Active NPI 1780236489 Individual Practitioner Female Practitioner

Kaitlin M Bourdeau , PA

Physician Assistant • Bloomfield, NJ

Professional Overview & Biography Verified Profile Summary

Kaitlin Bourdeau, PA is a registered healthcare professional specializing in Physician Assistant in Bloomfield, NJ. Practice services are available at 1255 BROAD ST STE 201A under active NPI credentials.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1255 Broad St Ste 201a

Bloomfield, NJ 070033061

Telephone 9738422100

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomfield, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 3.4 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Bloomfield, NJ (3413 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	217	41	$85.00	$57.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	41	$70.00	$52.95
99213 Established patient office or other outpatient visit, typically 15 minutes	81	34	$120.00	$84.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	34	$175.00	$119.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	11	$40.00	$13.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	284	53	$70.00	$53.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	259	37	$85.00	$58.22
99213 Established patient office or other outpatient visit, typically 15 minutes	113	38	$120.00	$84.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	30	$175.00	$119.88
36415 Insertion of needle into vein for collection of blood sample	41	26	$20.00	$8.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	13	$40.00	$13.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	30	$70.00	$54.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	178	40	$85.00	$59.61
99213 Established patient office or other outpatient visit, typically 15 minutes	82	31	$120.00	$86.28
36415 Insertion of needle into vein for collection of blood sample	41	23	$20.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$175.00	$121.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$289.72	$128.77

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License None 25MP00528000

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 18, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2019

Registered at 1255 BROAD ST STE 201A, BLOOMFIELD, NJ 070033061 (Tel: 9738422100)

📍

Updated Business Mailing Address July 18, 2019

Registered at 135 BRAKESHOE PL, MAHWAH, NJ 074301102 (Tel: 5518047432)

👤

Provider Name / Credentials Updated July 18, 2019

Recorded as KAITLIN BOURDEAU, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Physician Assistant (License #25MP00528000 in None)

🟢

Initial NPI Registration & Enumeration July 12, 2019

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: 1780236489

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2019

Last Update: July 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

135 Brakeshoe Pl

Mahwah, NJ 074301102

Phone: 5518047432

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.