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DR. MARK D BORCHELT MD, FACE
NPI 1194776286
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gulfport, MS

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
4540 W RAILROAD ST, GULFPORT, MS 39501(228) 867-6062(228) 867-2598 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Mar 6, 2024 (2 updates tracked since 2024).

About Dr. Mark D Borchelt Md, Face NPPES

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

DR. MARK D BORCHELT MD, FACE (NPI 1194776286) is an individual endocrinology, diabetes & metabolism provider in Gulfport, Mississippi, licensed in Mississippi (24066) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and maintains a secondary practice location in Bay St Louis.

NPPES Registry Identity

NPI1194776286
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MARK D BORCHELTCredential: MD, FACE
Location Address4540 W RAILROAD STGulfport, MS 39501-2480
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 867-6062 · Fax (228) 575-2917
Phone(228) 867-6062
Fax(228) 867-2598
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1983
Enumeration DateMay 13, 2006
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1194776286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MS · 24066✔ Licensed in FL · ME62666
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4540 W RAILROAD ST, Gulfport, MS 39501
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Secondary Practice Location 1

Location 1835 Thames AveBay St Louis, MS 39520-5005 · Phone (228) 575-2383 · Fax (228) 463-0827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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. Mark D Borchelt Md, Face 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 ID8729158167
PECOS Enrollment IDI20151130000718
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 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.
771 services562 patients
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.
510 services276 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
162 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers50 claims638 services$17.35 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers51 claims1,695 services$2.33 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers23 claims23 services$170.41 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers197 claims732 services$6.10 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers49 claims82 services$1.07 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 8

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

ASHLEY BARQ HOUSE FNP-C
Nurse Practitioner (Family)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
GULF COAST ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Rheumatology)
4540 W RAILROAD ST, SUITE B
GULFPORT, MS 39501
Harrison County (228) 867-4856
AMY M DIMITRIADES NP-C
Nurse Practitioner (Family)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
DR. BEVERLY LANSDEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
MISS CATHY YOUNG KIM NP
Nurse Practitioner (Adult Health)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST, SUITE A
GULFPORT, MS 39501
Harrison County (228) 867-2598
TRACI EVANS NP-C
Nurse Practitioner (Adult Health)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062

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 Mark Borchelt's NPI number?

The NPI number for Mark Borchelt is 1194776286. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Mark Borchelt located?

Mark Borchelt practices at 4540 W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 867-6062.

What is Mark Borchelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark Borchelt enrolled in Medicare?

Yes. Mark Borchelt 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.

What insurance does Mark Borchelt accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mark Borchelt 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 Mark Borchelt affiliated with any hospitals?

According to CMS data, Mark Borchelt is affiliated with Memorial Hospital At Gulfport and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Mark Borchelt was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.