MR. JUSTIN LUKE BOREN PA
NPI 1053468199
Physician Assistant in Columbia, TN

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
84.22/100
CMS Quality Rating
832 WESTOVER DR STE 200, COLUMBIA, TN 38401(931) 830-3033(931) 388-3401 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Nov 8, 2021 (2 updates tracked since 2021).

About Mr. Justin Luke Boren Pa NPPES

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

MR. JUSTIN LUKE BOREN PA (NPI 1053468199) is an individual physician assistant in Columbia, Tennessee, licensed in Tennessee (PA1296) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053468199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JUSTIN LUKE BORENCredential: PA
Location Address832 WESTOVER DR STE 200Columbia, TN 38401-4843
Mailing Address410 42nd Ave N Ste 400Nashville, TN 37209-3658 · (615) 329-7887
Fax(931) 388-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1053468199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · PA1296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
832 WESTOVER DR STE 200, Columbia, TN 38401

Other Identifiers 5

Medicaid874485289BGA
OtherP00382564TN · Railroad Medicare
Medicaid009941922AL
Medicaid874485289AGA
Other4142242TN · Blue Cross

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin Luke Boren Pa 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.

PECOS PAC ID6901901727
PECOS Enrollment IDI20070423000414
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
673 services496 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

84.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.49
Promoting Interoperability100
Improvement Activities40
Cost67.12

Other Providers at the Same Location NPPES 8

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

Surgery
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery (Vascular Surgery)
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Nurse Practitioner (Acute Care)
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery (Vascular Surgery)
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery
832 WESTOVER DR STE 200
COLUMBIA, TN 38401
Surgery
832 WESTOVER DR STE 200
COLUMBIA, TN 38401

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 Justin Boren's NPI number?

The NPI number for Justin Boren is 1053468199. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Justin Boren located?

Justin Boren practices at 832 Westover Dr Ste 200, Columbia, TN 38401. The listed phone number is (931) 830-3033.

What is Justin Boren's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Boren enrolled in Medicare?

Yes. Justin Boren 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.

What insurance does Justin Boren accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Justin Boren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Boren affiliated with any hospitals?

According to CMS data, Justin Boren is affiliated with Maury Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Boren was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.