Kelly Bourgon, OD
Optometrist · Longmont, CO
Kelly Bourgon, OD is an optometrist with a practice address in Longmont, Colorado, and NPI 1194213751, issued on Apr 28, 2018. Check the license (Colorado 3557, as entered in NPPES) with the Colorado board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Bourgon
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 3557 CO
TUV008844 NY
Self-reported in NPPES; status is on the state search - Practice location
- 412 Main St, Longmont, CO 80501
- Phone
- (303) 651-6700
- Enumerated
- Apr 28, 2018
- Record last updated
- Jan 30, 2023
- Medicare enrollment
- Enrolled (PECOS I20200917003222); accepts Medicare assignment
- Medical or professional school
- Pacific University - College Of Optometry, 2018
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,273 in Colorado → Look up another NPI →
Also registered at 412 Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Phillip Baker, O.D.Optometrist1386708659
- Roger Trudell, O.D.Optometrist1447314703
Verify Kelly Bourgon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Colorado board licenses this profession
Search for license 3557Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average optometrist in 2024
90 Medicare Part D claims for 42 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims.
Most prescribed
- Latanoprost29 claims
- Neomycin-Polymyxin-Dexameth18 claims
- Lumigan11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $125.72
2 payments; by number, the most common kind was food and beverage; the largest payer was Johnson & Johnson Vision Care, Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Eye Care Associates OF CO LLCLongmont, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Bourgon among 1,273 optometrist records in Colorado
Kelly Bourgon, OD is one of 1,273 optometrist records with a practice address in Colorado. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 79% of them.
- NPI issued2018 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2018 · median 2009 among the 750 with a school on file
- Record last updated2023 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
28 optometrist records list a practice address in Longmont
They are 28 of the 2,381 NPPES records with a practice address in Longmont, and 1,273 optometrist records in Colorado.
All 1,273 in Colorado → Every provider in Longmont → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Phillip Baker, O.D.Longmont, CO 805011386708659
- Clark Blackwood, O.D.Longmont, CO 805011518075324
- Justin Deal, O.D.Longmont, CO 805011134400054
- Jennifer Everett, O.D.Longmont, CO 805011558673392
- Larry Forrest, ODLongmont, CO 805011386752343
- Gina Gabriel, OD MSLongmont, CO 805011902889637
- Sara Heffler, O.D.Longmont, CO 805011083639413
- Jason Kaminski, O.D., F.A.A.O.Longmont, CO 805011790788156
Common questions
What is Kelly Bourgon, OD's NPI number?
Kelly Bourgon, OD's National Provider Identifier (NPI) is 1194213751, issued on Apr 28, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Bourgon, OD located?
The NPPES record lists a practice address at 412 Main St, Longmont, CO, 80501. Phone: (303) 651-6700. Providers update this record themselves, so call before visiting.
How can I verify Kelly Bourgon, OD's license?
NPPES lists Colorado license number 3557, as entered by the provider. Search the Colorado board that licenses this profession; the NPPES record confirms identity only.
How much does Kelly Bourgon, OD prescribe under Medicare Part D?
In 2024, Kelly Bourgon, OD had 90 Medicare Part D claims for 42 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.