JEFFREY JAMES BORUT D.O.
NPI 1053467241
Surgery in San Diego, CA
About Jeffrey James Borut D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY JAMES BORUT D.O. (NPI 1053467241) is an individual surgery provider in San Diego, California, licensed in California (20A9610) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeffrey James Borut D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffrey Borut reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAN DIEGO, CA 92134
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 Jeffrey Borut's NPI number?
The NPI number for Jeffrey Borut is 1053467241. It was assigned to this individual provider in the NPPES registry on January 28, 2007.
Where is Jeffrey Borut located?
Jeffrey Borut practices at 34800 Bob Wilson Dr Nmcsd, San Diego, CA 92134. The listed phone number is (619) 532-7579.
What is Jeffrey Borut's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jeffrey Borut enrolled in Medicare?
Yes. Jeffrey Borut is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeffrey Borut's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Borut reassigns Medicare benefits to 2 organizations: Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Borut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeffrey Borut affiliated with any hospitals?
According to CMS data, Jeffrey Borut is affiliated with Fairview Lakes Health Services, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Borut was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffrey James Borut, D.O. · NPI 1053467241
Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 28, 2007.
## Identity
- **NPI:** 1053467241 (Entity type: Individual)
- **Enumerated:** January 28, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 20A9610 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 34800 BOB WILSON DR, NMCSD, San Diego, CA 92134-1098
- **Phone:** (619) 532-7579
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1053467241) · Data from the CMS NPPES public registry.