BARBARA ANN BORCIK MS, RD, LD, CDE NPI 1063445047
Dietitian, Registered in Reisterstown, MD

Individual Female Years of Experience 28 Dietitian, Registered Accepts Medicare Approved Payment MIPS Quality Score 94.6

About BARBARA ANN BORCIK MS, RD, LD, CDE

Barbara Borcik is a provider established in Reisterstown, Maryland and her medical specialization is Dietitian, Registered with more than 28 years of experience. The NPI number of Barbara Borcik is 1063445047 and was assigned on July 2006. The practitioner's primary taxonomy code is 133V00000X with license number D00061 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1063445047
Provider Name BARBARA ANN BORCIK MS, RD, LD, CDE
Provider Location Address750 MAIN ST 310 REISTERSTOWN, MD 21136
Provider Mailing Address515 FAIRMOUNT AVE STE 400 TOWSON, MD 21286
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date07-10-2006
Last Update Date11-30-2020

Barbara Borcik is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $4.97 for an established patient copayment.



Primary Taxonomy

Taxonomy Code133V00000X
ClassificationDietitian, Registered
TypeDietary & Nutritional Service Providers
License No.D00061
License StateMD
Taxonomy DescriptionA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Business Address

BARBARA ANN BORCIK MS, RD, LD, CDE
750 MAIN ST
310
REISTERSTOWN, MD
ZIP 21136
Phone: (410) 526-3061

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Mailing Address

BARBARA ANN BORCIK MS, RD, LD, CDE
515 FAIRMOUNT AVE
STE 400
TOWSON, MD
ZIP 21286
Phone: (410) 494-1324
Fax: (410) 494-1361


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID2062304371
PECOS Enrollment IDI20040329001715
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 21136 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: NA
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.64 $191.95 $0
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.91 $47.98 $0
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99211
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.91 $156.57 $19.91
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.97 $39.14 $4.97

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 97.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 91
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 76.2
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 94.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 164Medical nutrition therapy, assessment and intervention, each 15 minutes (HCPCS:97802)
  • 81Medical nutrition therapy re-assessment and intervention, each 15 minutes (HCPCS:97803)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1142675OTHER (01)AETNA HMO
76956112OTHER (01)CAREFIRST MARYLAND
112478OTHER (01)COVENTRY
228457OTHER (01)KAISER
286271OTHER (01)MAMSI
039510OTHER (01)JOHNS HOPKINS HEALTHCARE
7064726OTHER (01)AETNA PPO
0076OTHER (01)CAREFIRST DC
2140424OTHER (01)UNITED HEALTHCARE
36259MEDICAID (05)MD
850002900MEDICAID (05)MD

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063445047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123841008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 4 + 1 + 0 + 0 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1063445047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568497501MS. CHERYL L TAYLOR MSW
Individual
Social Worker (Clinical)750 MAIN ST SUITE 310
REISTERSTOWN, MD 21136
(410) 532-8546
1700981701 KATHRYN NEUMAN RUDO
Individual
Dermatology750 MAIN ST SUITE 302
REISTERSTOWN, MD 21136
(410) 526-7800
1841421880 VIRGINIA KRANZ MD
Individual
Otolaryngology750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-3000
1174856645LIFEBRIDGE INVESTMENTS
Organization
Optometrist750 MAIN ST SUITE 301A
REISTERSTOWN, MD 21136
(410) 526-3060
1134493612MRS. MARIA J KHANUJA CRNP
Individual
Nurse Practitioner750 MAIN ST SUITE 205
REISTERSTOWN, MD 21136
(410) 526-7800
1285684704 ROBERT STONE BAXT M.D.
Individual
General Practice750 MAIN ST SUITE 301
REISTERSTOWN, MD 21136
(410) 526-3051
1730508441LIFEBRIDGE COMMUNITY PRACTICE
Organization
Audiologist750 MAIN ST STE. 202
REISTERSTOWN, MD 21136
(410) 526-3048
1114324027 HANNA MICHELLE LEE PHARM D
Individual
Pharmacist750 MAIN ST SUITE 104E
REISTERSTOWN, MD 21136
(410) 526-2960
1457391013 STEPHEN M SIEGEL M.D.
Individual
Internal Medicine750 MAIN ST SUITE 205
REISTERSTOWN, MD 21136
(410) 526-3043
1255417242MS. ESTHER MYRA COHEN P.A.C
Individual
Physician Assistant750 MAIN ST STE 302
REISTERSTOWN, MD 21136
(410) 526-3050
1356794143 CHI-CHENG MICHAEL HO PHARMD
Individual
Pharmacist750 MAIN ST SUITE 104E
REISTERSTOWN, MD 21136
(410) 526-2960
1902945082MS. WENDY H KEENE PA-C
Individual
Physician Assistant750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-7800
1114224268LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC
Organization
Clinic/Center (Rehabilitation)750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-3030
1053389940DR. SARA NADINE SPINNER-BLOCK M.D.
Individual
Pediatrics750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-7993
1336696244DR. HUYENTRAN TA PHARM. D
Individual
Pharmacist750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-2960
1023139383MS. DENISE W THROPE M.S.
Individual
Audiologist750 MAIN ST STE 202
REISTERSTOWN, MD 21136
(410) 526-3048
1447211586DR. RONALD F SHER M.D.
Individual
Internal Medicine (Cardiovascular Disease)750 MAIN ST STE 302
REISTERSTOWN, MD 21136
(410) 526-3071
1497956676DR. LINDSEY THATTASSERY M.D.
Individual
Internal Medicine750 MAIN ST
REISTERSTOWN, MD 21136
(410) 526-7800
1568698660 HILLARY BARNES LOPER M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)750 MAIN ST STE 310
REISTERSTOWN, MD 21136
(410) 526-3061
1730519091 ANGELA MARTS PA-C
Individual
Physician Assistant750 MAIN ST STE 201
REISTERSTOWN, MD 21136
(410) 526-3053

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Barbara Ann Borcik Ms, Rd, Ld, Cde is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.