LILLIBETH B BORUCHOW MD
NPI 1023132669
Psychiatry & Neurology - Psychiatry in Arlington, VA

Active since March 19, 2007Opted out of Medicare · through Aug 11, 2026
1715 N GEORGE MASON DR, #409, ARLINGTON, VA 22205(703) 243-6377(703) 243-3101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lillibeth B Boruchow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIBETH B BORUCHOW MD (NPI 1023132669) is an individual psychiatry provider in Arlington, Virginia, licensed in Virginia (0101021455) and active in the NPI registry since March 2007. She has opted out of Medicare through August 11, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023132669
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameLILLIBETH B BORUCHOWCredential: MD
Location Address1715 N GEORGE MASON DR, #409Arlington, VA 22205
Mailing Address1715 N George Mason Dr, Suite 409Arlington, VA 22205 · (703) 243-6377 · Fax (703) 243-3101
Fax(703) 243-3101
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1023132669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0101021455
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1715 N GEORGE MASON DR, Arlington, VA 22205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lillibeth B Boruchow Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 11, 2012 through August 11, 2026.

Opt-Out Effective DateAugust 11, 2012
Opt-Out In Effect ThroughAugust 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1715 N GEORGE MASON DR, SUITE 205
ARLINGTON, VA 22205
Advanced Practice Midwife
1715 N GEORGE MASON DR, #305
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, 408
ARLINGTON, VA 22205
Nurse Practitioner (Family)
1715 N GEORGE MASON DR, 402
ARLINGTON, VA 22205
Obstetrics & Gynecology
1715 N GEORGE MASON DR, SUITE 302
ARLINGTON, VA 22205
Orthopaedic Surgery
1715 N GEORGE MASON DR, SUITE 504
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, SUTIE #504
ARLINGTON, VA 22205
Internal Medicine (Gastroenterology)
1715 N GEORGE MASON DR, SUITE 204
ARLINGTON, VA 22205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillibeth Boruchow's NPI number?

The NPI number for Lillibeth Boruchow is 1023132669. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Lillibeth Boruchow located?

Lillibeth Boruchow practices at 1715 N George Mason Dr #409, Arlington, VA 22205. The listed phone number is (703) 243-6377.

What is Lillibeth Boruchow's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lillibeth Boruchow enrolled in Medicare?

No. Lillibeth Boruchow has opted out of Medicare through August 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lillibeth Boruchow was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.