Michael H Bourne
MOUNTAINSTAR SPECIALTY SERVICES LLC


Address: 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Phone: 8015691999

Michael H Bourne (NPI# 1073505582, PAC ID# 6103840376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1073505582
PAC ID by PECOS 6103840376
Professional Enrollment ID I20060116000318
Full Name Michael H Bourne
Organization Legal Name MOUNTAINSTAR SPECIALTY SERVICES LLC
Address 8846 S Redwood Rd
Suite 121
West Jordan
UT 84088-9366
Phone Number 8015691999
Gender M
Credential MD
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 4688767551
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460047 ST MARK'S HOSPITAL

Other Locations

Address Phone Organization
1200 E 3900, Salt Lake City, UT 84124-1300 8012687111 MOUNTAINSTAR SPECIALTY SERVICES LLC
8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 8015691999 MOUNTAINSTAR SPECIALTY SERVICES LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_109_overall Osteoarthritis (OA): Function and Pain Assessment 99%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 27%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name MOUNTAINSTAR SPECIALTY SERVICES LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Angelo G Chachas General Surgery Mountainstar Specialty Services LLC 1250 E 3900 S, Suite 460, Salt Lake City, UT 84124-1349
Scott E Bruderer Physician Assistant Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Traske M Muir Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Stuart C Marshall Jr. Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Robert B Bourne Internal Medicine Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Charles L Beck Jr. Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
E Marc Mariani Orthopedic Surgery Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Spencer H Amundsen Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
David G Tranter Physician Assistant Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Alfonso Preciado General Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009

Office Location

Street Address 8846 S REDWOOD RD
SUITE 121
City WEST JORDAN
State UT
Zip 84088-9366

Physicians in the same location

Name Specialty Organization Address
Robert B Bourne Internal Medicine Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Evan Reinhardt Family Medicine Mountainstar Medical Group-st. Marks Hospital LLC 8846 S Redwood Rd, 121 Jordan Family Health, West Jordan, UT 84088-9334
E Marc Mariani Orthopedic Surgery Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Brittany Sue Jorgensen Nurse Practitioner Mountainstar Medical Group-st. Marks Hospital LLC 8846 S Redwood Rd, 121 Jordan Family Health, West Jordan, UT 84088-9334

Physicians in the same zip code

Name Specialty Organization Address
Javier Eduardo Chavez Obstetrics/gynecology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Leo Berkenbile Emergency Medicine Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Ryan Leonard Otolaryngology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Brandon Allen Family Medicine Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Edwin W Aldous Otolaryngology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Jon Aaron Christensen Chiropractic 3075 W 7800, West Jordan, UT 84088-2802
David R Hillam Family Medicine Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
Jenny Louise Mckay Nurse Practitioner Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
William J Walsh Internal Medicine Salson Clinics LLC 1745 W 7800, West Jordan, UT 84088-4017
Bryan D Gordon Chiropractic 2618 W 7800, Suite 200, West Jordan, UT 84088-4213
Find all physicians in zip 84088

Competitor

Search similar physicians

City WEST JORDAN
Zip Code 84088
Specialty ORTHOPEDIC SURGERY
City + Specialty WEST JORDAN + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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