Peter Daniel Bourland, PHYSICIAN ASSISTANT
NPI 1710510565ActiveIndividual· Physician Assistant· Raleigh, NC
Physician Assistant (PHYSICIAN ASSISTANT) with North Carolina Mg LLC, practicing in Raleigh, North Carolina. In 2024 Medicare paid $5,642 for 31 patients, and Part D covered 91 of their prescriptions, 82% of them generic. Lists Rex Hospital as a hospital affiliation.
Overview
| NPI | 1710510565 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Feb 20, 2020 |
| Last updated in NPPES | Apr 10, 2025 |
| Certified by provider | Apr 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-14932 | NC |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 92 across 5 procedure codes |
| Paid by Medicare | $5,642 |
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 104 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $7,061 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- North Carolina Mg LLCRaleigh, NC · 751 clinicians
Hospital affiliation
- Rex HospitalRaleigh, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 757 physician assistants in Raleigh · All physician assistants in North Carolina