Active NPI 1205823036 Individual Practitioner Female Practitioner

Cheryl R Bourgault , PA-C

Physician Assistant • Eugene, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cheryl Bourgault, PA-C is a certified Physician Assistant practicing in Eugene, OR. With approximately 25 years of clinical experience since completing medical education in 2001, Cheryl Bourgault delivers high-quality medical care to the local community at 360 S GARDEN WAY.

Cheryl Bourgault is affiliated with Diane L Baird Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 S Garden Way
Suite 210

Eugene, OR 974018173

Telephone 5416833202

Fax 5418681063

Associated Practice Facility / Clinic

🏢 Middle Fork Surgery Center Llc Facility NPI 1811920366

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eugene, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

100 Specialists

Practicing in Eugene, OR (2106 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourgault (25 Years) 25 Yrs

Eugene Specialty Average (10.7 Years) 10.7 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
17003 Destruction of precancer skin growth, 2-14 growths	547	105	$13.12	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	294	241	$177.58	$76.53
17000 Destruction of skin growth	213	166	$132.57	$48.06
17110 Destruction of up to 14 skin growths	86	70	$223.18	$92.90
11102 Tangential biopsy of single skin lesion	74	70	$196.69	$77.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$217.11	$93.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$250.46	$105.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$324.75	$139.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$110.68	$47.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	510	116	$13.16	$5.52
99213 Established patient office or other outpatient visit, typically 15 minutes	253	212	$175.83	$73.83
17000 Destruction of skin growth	206	163	$131.40	$43.51
17110 Destruction of up to 14 skin growths	111	96	$223.02	$89.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$217.39	$91.13
11102 Tangential biopsy of single skin lesion	69	63	$199.21	$74.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	49	$248.88	$104.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$109.73	$46.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$323.67	$135.84
11103 Biopsy of related skin growth, each additional growth	16	13	$98.30	$41.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	443	91	$13.26	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	235	192	$176.26	$73.94
17000 Destruction of skin growth	178	135	$130.68	$43.61
17110 Destruction of up to 14 skin growths	97	87	$221.18	$91.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$216.66	$90.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$249.42	$105.21
11102 Tangential biopsy of single skin lesion	57	53	$200.34	$79.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$109.38	$46.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$323.86	$136.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	558	101	$12.76	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	225	191	$177.17	$75.58
17000 Destruction of skin growth	183	147	$128.47	$43.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	89	$251.63	$107.44
17110 Destruction of up to 14 skin growths	82	73	$221.04	$92.05
11102 Tangential biopsy of single skin lesion	69	66	$202.71	$80.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$217.33	$92.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$109.04	$46.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$324.84	$138.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$600.60	$256.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	559	99	$11.86	$5.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	159	$213.47	$91.68
17000 Destruction of skin growth	172	142	$128.32	$44.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$210.76	$90.57
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$146.97	$62.10
17110 Destruction of up to 14 skin growths	72	62	$219.36	$89.59
11102 Tangential biopsy of single skin lesion	66	63	$196.44	$78.61
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$148.70	$62.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$88.73	$38.10
11103 Biopsy of related skin growth, each additional growth	19	14	$104.40	$44.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	15	$347.90	$133.74
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$310.93	$133.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	496	98	$11.12	$4.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	144	$215.52	$91.22
17000 Destruction of skin growth	154	127	$129.34	$44.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$214.10	$90.60
17110 Destruction of up to 14 skin growths	78	72	$218.64	$88.91
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$147.06	$62.23
11102 Tangential biopsy of single skin lesion	60	57	$195.54	$77.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$89.12	$37.72
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$151.00	$63.92
11104 Punch biopsy, first skin growth	16	16	$245.86	$103.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	545	100	$10.39	$4.24
17000 Destruction of skin growth	169	133	$131.10	$45.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	137	$213.52	$87.44
99213 Established patient office or other outpatient visit, typically 15 minutes	83	72	$144.54	$59.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$213.39	$87.44
17110 Destruction of up to 14 skin growths	63	54	$221.64	$89.88
11100 Biopsy of single growth of skin and/or tissue	59	56	$209.10	$79.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	42	$86.78	$35.57
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$148.40	$61.10
11101 Biopsy of each additional growth of skin and/or tissue	19	15	$64.82	$26.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$348.46	$122.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	773	134	$11.34	$4.50
17000 Destruction of skin growth	223	183	$131.54	$45.48
99213 Established patient office or other outpatient visit, typically 15 minutes	168	140	$144.56	$59.21
11100 Biopsy of single growth of skin and/or tissue	87	77	$203.70	$79.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	80	$212.28	$86.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$212.70	$87.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	68	$85.93	$35.32
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$147.72	$59.84
17110 Destruction of up to 14 skin growths	48	45	$218.35	$87.75
17004 Destruction of precancer skin growth, 15 or more growths	18	16	$295.93	$121.75
11101 Biopsy of each additional growth of skin and/or tissue	15	14	$64.62	$26.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	14	14	$264.92	$108.67
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	14	14	$712.41	$353.24

Medical Specialties & State Licenses

CMS Verified: 2023-03-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA152468

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500666195 (OR)

Hospital & Practice Group Affiliations

Diane L Baird Md Pc

360 S Garden Way, Eugene, OR 974018186

Phone: 5416833202

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Diane Baird , MD

Dermatology

NPI 1891734448

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 27, 2023

Registered at 360 S GARDEN WAY STE 210, EUGENE, OR 974018186 (Tel: 5416833202)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Physician Assistant (License #PA152468 in OR)

✅

NPI Profile Active October 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2010

Registered at 360 S GARDEN WAY, SUITE 210, EUGENE, OR 974018173 (Tel: 5416833202)

📍

Updated Business Mailing Address October 13, 2010

Registered at PO BOX 10605, 360 S GARDEN WAY, SUITE 210, EUGENE, OR 974402605 (Tel: 5416833202)

👤

Provider Name / Credentials Updated October 13, 2010

Recorded as CHERYL BOURGAULT, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2010

Physician Assistant (License #PA10004248 in WA)

🟢

Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205823036

Entity Type:

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

Enumeration Date: October 06, 2005

Last Update: March 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

360 S Garden Way Ste 210

Eugene, OR 974018186

Phone: 5416833202

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.