Doctor profile · Federal record

Dr. Meredith Bourne, MD

Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Ithaca, NY

  • NPI 1134530504
  • MIPS 82.0 / 100 · 2023
  • 12 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
720 Willow Ave
Ithaca, NY 148503215
(607) 219-4600
Additional location
2810 Nicollet Ave
Minneapolis, MN 554084708
(612) 873-6963
fax (612) 545-9259
Additional location
3850 Park Nicollet Blvd
St Louis Park, MN 554162527
(952) 993-3340
Mailing address
1 Guthrie Sq
Sayre, PA 188401625

Credentials & registration

NPPES · NUCC
NPI registered
May 2014 — 12 yrs on file
Profile last updated
December 8, 2022
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
New York #317095 · Minnesota #59664

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1134530504. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
159
Distinct HCPCS
4
Medicare allowed
$13,489
HCPCS Description Services Patients Avg allowed
36415 Insertion of needle into vein for collection of blood sample 62 47 $8
99214 Established patient office or other outpatient visit, 30-39 minutes 52 49 $123
99215 Established patient office or other outpatient visit, 40-54 minutes 31 30 $173
99213 Established patient office or other outpatient visit, 20-29 minutes 14 14 $87

In context: peer comparison

Among 13 peers in this city , average services per provider: 58. This provider delivers 2.7× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
708
Patients
216
Total drug cost
$100,474
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 105 36 $1,599
Levothyroxine Sodium Generic 83 26 $1,610
Rosuvastatin Calcium Generic 67 21 $1,352
Amlodipine Besylate Generic 57 23 $623
Lisinopril Generic 47 17 $617
Jardiance (Empagliflozin) Brand 46 16 $73,676
Gabapentin Generic 45 12 $1,202
Losartan Potassium Generic 45 15 $498
Omeprazole Generic 39 16 $747
Metformin Hcl Generic 34 11 $381

Frequently asked questions

Auto-generated from federal data
What is Dr. Meredith Bourne's medical specialty?
Dr. Meredith Bourne practices Family Medicine Physician in Ithaca, NY.
Where does Dr. Meredith Bourne practice?
Dr. Meredith Bourne practices at 720 Willow Ave, Ithaca, NY 148503215. Office phone: 6072194600.
What is Dr. Meredith Bourne's NPI?
Dr. Meredith Bourne's National Provider Identifier (NPI) is 1134530504, issued by NPPES.
Does Dr. Meredith Bourne accept Medicare assignment?
Dr. Meredith Bourne does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Meredith Bourne commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.