DR. JEFFREY M BORKAN M.D.
NPI 1154304996
Family Medicine in Pawtucket, RI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment

111 BREWSTER ST, FAMILY CARE CENTER, PAWTUCKET, RI 02860(401) 729-2769(401) 729-2772 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jeffrey M Borkan M.d. NPPES

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

DR. JEFFREY M BORKAN M.D. (NPI 1154304996) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD10711) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1984).

NPPES Registry Identity

NPI1154304996

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEFFREY M BORKANCredential: M.D.

Location Address111 BREWSTER ST, FAMILY CARE CENTERPawtucket, RI 02860-4400

Mailing Address111 Brewster St, Wood Bldg 516Pawtucket, RI 02860-4400 · (401) 729-3481

Phone(401) 729-2769

Fax(401) 729-2772

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1984

Enumeration DateNovember 25, 2005

Last NPPES UpdateApril 2, 2021

NPPES CertifiedApril 2, 2021

✔ NPI 1154304996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in RI · MD10711

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

111 BREWSTER ST, Pawtucket, RI 02860

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Other Identifiers 1

Medicaid9023639RI

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. Jeffrey M Borkan 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 ID345395620

PECOS Enrollment IDI20090910000367

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

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.

24 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.