Michael Ray Bourne, MD
NPI 1164412649ActiveIndividual· Podiatrist· Stillwater, MN
Podiatrist (MD) in Stillwater, Minnesota, trained at California School of Podiatric Medicine (class of 1988). 197 Medicare patients in 2024, $29,980 paid; nearly all of their 230 Part D prescriptions were generic (98%). Foundation Medical, LLC reported $118.50 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164412649 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 25, 2005 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 445 | MN |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 746 | WI |
| Podiatrist | 213E00000X | 746 | WI |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 445 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (MN); Practitioner - Podiatry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 197 |
|---|---|
| Services billed | 366 across 37 procedure codes |
| Paid by Medicare | $29,980 |
Part D prescriptions in 2024
| Prescriptions (claims) | 230 · 256 30-day fills |
|---|---|
| Patients | 152 |
| Total drug cost | $1,925 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | California School of Podiatric Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Podiatry |
Medical groups
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
- Amery Regional Medical Center IncAmery, WI · 124 clinicians
Hospital affiliations
- Amery Hospital & ClinicAmery, WI
- Hudson HospitalHudson, WI
- Lakeview Memorial HospitalStillwater, MN
- Westfields Hospital and ClinicNew Richmond, WI
Industry payments (Open Payments)
- 2025$118.50 · 1 payment from 1 company
- 2024$95.10 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Foundation Medical, LLC | $118.50 | 1 |
What the 2025 payments were for
- Food and Beverage$118.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Podiatrist providers in Stillwater
- 1578700134