Larry Avis Bourg, M.D.
NPI 1205800182ActiveIndividual· Specialist· Parker, CO
Specialist (M.D.) in Parker, Colorado, licensed in CO, with an NPI issued in February 2006. 111 Medicare patients in 2024, $16,326 paid; nearly all of their 79 Part D prescriptions were generic (92%).
Overview
| NPI | 1205800182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 15, 2006 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 39560 | CO |
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 - Internal Medicine (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 126 across 6 procedure codes |
| Paid by Medicare | $16,326 |
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 213 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $5,120 |
| Generic share | 92% of claims |
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