DR. KELLY BORGMAN O.D.
NPI 1063759678
Optometrist - Pediatrics in Holland, MI
About Dr. Kelly Borgman O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY BORGMAN O.D. (NPI 1063759678) is an individual pediatrics provider in Holland, Michigan, licensed in Michigan (4901005784) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Kelly Borgman O.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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Borgman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Zeeland, MI 49464
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 61 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Borgman's NPI number?
The NPI number for Kelly Borgman is 1063759678. It was assigned to this individual provider in the NPPES registry on January 16, 2013.
Where is Kelly Borgman located?
Kelly Borgman practices at 904 Washington Ave Ste 120, Holland, MI 49423. The listed phone number is (616) 796-9995.
What is Kelly Borgman's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.
Is Kelly Borgman enrolled in Medicare?
Yes. Kelly Borgman 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 Kelly Borgman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Borgman reassigns Medicare benefits to 2 organizations: Eyes To See Pediatric Ophthalmology PLLC (Zeeland, MI) and West Point Optical Group (Novi, MI). 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 Kelly Borgman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Borgman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 17 other insurers list Kelly Borgman 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.
When was this NPI record last updated?
The NPPES record for Kelly Borgman was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Kelly Borgman, O.D. · NPI 1063759678
Pediatrics provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since January 16, 2013.
## Identity
- **NPI:** 1063759678 (Entity type: Individual)
- **Enumerated:** January 16, 2013
- **Primary specialty:** Optometrist - Pediatrics · taxonomy 152WP0200X
- **State license:** 4901005784 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 904 WASHINGTON AVE STE 120, Holland, MI 49423-7724
- **Phone:** (616) 796-9995
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eyes To See Pediatric Ophthalmology PLLC (NPI 1497086334, Zeeland, MI); West Point Optical Group (NPI 1831548890, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2007
## Record status
- **NPPES last updated:** August 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1063759678) · Data from the CMS NPPES public registry.