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DR. PAUL ALLEN BORGFELD M. D.
NPI 1104820976
Internal Medicine in San Angelo, TX

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
120 E HARRIS AVE, SAN ANGELO, TX 76903(325) 653-6741(325) 481-2165 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul Allen Borgfeld M. D. NPPES

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

DR. PAUL ALLEN BORGFELD M. D. (NPI 1104820976) is an individual internal medicine provider in San Angelo, Texas, licensed in Texas (H0193) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Glen Rose Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1985).

NPPES Registry Identity

NPI1104820976
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL ALLEN BORGFELDCredential: M. D.
Location Address120 E HARRIS AVESan Angelo, TX 76903-5904
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2165
Phone(325) 653-6741
Fax(325) 481-2165
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1985
Enumeration DateJune 9, 2005
Last NPPES UpdateJune 15, 2012
✔ NPI 1104820976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · H0193
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.
120 E HARRIS AVE, San Angelo, TX 76903
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Other Identifiers 3

Other8X7890TX · Bsbc
Medicaid103697203TX
Medicare PIN8J2621TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Paul Allen Borgfeld 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 ID3870564917
PECOS Enrollment IDI20040803001030
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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Borgfeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Glen Rose Healthcare, Inc
167 mi
Family Medicine
409 GLENWOOD ST, 500
Glen Rose, TX 76043
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
NPI 1568509586 (254) 897-2202

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
102 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450451
Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier17 claims17 services$18.19 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
1 supplier23 claims23 services$90.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$24.35 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 20

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

DR. STEPHANIE WALLS MCCANN PHARM. D.
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 657-5214
DR. YASEEN SALEH MD
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
SHANNON MEDICAL CENTER
Psychiatric Hospital
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 657-5031
DR. LANCE ELIOT HAFTER D.O.
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
JAVIER LEONCIO BAEZ PRESSER MD
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 481-6410
DR. EKEMINI BENEDICT USORO DO
Hospitalist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
CHIAMAKA SYLVIA DIALA MD
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-6741
DR. SHELLY DENISE WEISE EDD
Physical Therapist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-6741

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 Paul Borgfeld's NPI number?

The NPI number for Paul Borgfeld is 1104820976. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Paul Borgfeld located?

Paul Borgfeld practices at 120 E Harris Ave, San Angelo, TX 76903. The listed phone number is (325) 653-6741.

What is Paul Borgfeld's specialty?

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

Is Paul Borgfeld enrolled in Medicare?

Yes. Paul Borgfeld 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 organization bills Medicare for Paul Borgfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Borgfeld reassigns Medicare benefits to Glen Rose Healthcare, Inc (Glen Rose, TX). The 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 Paul Borgfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Borgfeld accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Paul Borgfeld 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 Paul Borgfeld affiliated with any hospitals?

According to CMS data, Paul Borgfeld is affiliated with Glen Rose Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Borgfeld was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.