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DR. MICHAEL ANTHONY P BORROMEO M.D.
NPI 1063447605
Internal Medicine in Red Lake, MN

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
69.67/100
CMS Quality Rating
HIGHWAY 1, IHS BOX 165, RED LAKE, MN 56671(218) 679-3912(218) 679-0181 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Anthony P Borromeo M.d. NPPES

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

DR. MICHAEL ANTHONY P BORROMEO M.D. (NPI 1063447605) is an individual internal medicine provider in Red Lake, Minnesota, licensed in Minnesota (43108) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1063447605
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ANTHONY P BORROMEOCredential: M.D.
Location AddressHIGHWAY 1, IHS BOX 165Red Lake, MN 56671-0165
Mailing Address24760 Hospital Drive, Box 497Red Lake, MN 56671-0165 · (218) 679-3912 · Fax (218) 679-0181
Phone(218) 679-3912
Fax(218) 679-0181
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 7, 2016
✔ NPI 1063447605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 43108
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
HIGHWAY 1, Red Lake, MN 56671
Open in Google Maps ↗

Other Identifiers 8

Medicaid510010100MN
Medicare UPINH62212MN
Medicare PIN8HZ06WMN
Medicare PIN8HZQ61MN
OtherHSZ009MN · Part B
Other34G20BOMN · Bc/bs Of Mn
OtherHSZ011MN · Part B
Medicare OSCAR/certification240206MN

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

Dr. Michael Anthony P Borromeo M.d. 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 ID5294912242
PECOS Enrollment IDI20110531000717
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 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.
198 services89 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services30 patients
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.
33 services26 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
21 services11 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Red Lake Hospital

Acute Care Hospitals · Redlake, MN
OwnershipGovernment - Federal
CMS Certification Number240206
Location24760 Hospital DriveRedlake, MN 56671 · Beltrami County

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56671 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

69.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability74
Improvement Activities40
Cost18.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$21.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers41 claims41 services$115.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MS. TRACY BROWER CNP
Nurse Practitioner
HIGHWAY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912
KATHLEEN MARMORINE
Nurse Practitioner (Family)
HIGHWAY 1, BOX 497
RED LAKE, MN 56671
Beltrami County (218) 679-3912
DR. MARK DOUGLAS CUNNINGHAM D.O.
Family Medicine
HIGHWAY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912
DR. MARK W SELLERS PHARM.D.
Pharmacist (Pharmacotherapy)
HIGHWAY 1
RED LAKE, MN 56671
Beltrami County (218) 679-3912

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 Michael Anthony Borromeo's NPI number?

The NPI number for Michael Anthony Borromeo is 1063447605. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Michael Anthony Borromeo located?

Michael Anthony Borromeo practices at Highway 1 Ihs Box 165, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Michael Anthony Borromeo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Anthony Borromeo enrolled in Medicare?

Yes. Michael Anthony Borromeo 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.

Is Michael Anthony Borromeo affiliated with any hospitals?

According to CMS data, Michael Anthony Borromeo is affiliated with Sanford Bemidji Medical Center, Red Lake Hospital and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Michael Anthony Borromeo was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.