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DR. MARK S BORENSTEIN MD
NPI 1205891140
Radiology - Vascular & Interventional Radiology in Mishawaka, IN

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
92.95/100
CMS Quality Rating
250 E DAY RD STE 300, MISHAWAKA, IN 46545(574) 273-6787(574) 968-0882 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2025, Feb 7, 2024, Apr 5, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Mark S Borenstein Md NPPES

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

DR. MARK S BORENSTEIN MD (NPI 1205891140) is an individual vascular & interventional radiology provider in Mishawaka, Indiana, licensed in Indiana (01079540A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York Downstate Medical Center (1983).

NPPES Registry Identity

NPI1205891140
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. MARK S BORENSTEINCredential: MD
Location Address250 E DAY RD STE 300Mishawaka, IN 46545-3471
Mailing Address40 Valley Stream Pkwy Ste 100Malvern, PA 19355-1407 · (610) 644-8900 · Fax (484) 924-0053
Phone(574) 273-6787
Fax(574) 968-0882
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1983
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1205891140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in IN · 01079540A✔ Licensed in FL · ME111796✔ Licensed in GA · 056268✔ Licensed in MO · 2023050079
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME111796 (FL)
250 E DAY RD STE 300, Mishawaka, IN 46545
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12283 SW 2nd StPompano Beach, FL 33069-3101 · Phone (847) 388-2001 · Fax (847) 388-2020
Location 2201 Dunn RdFlorissant, MO 63031-7928 · Phone (314) 830-3841 · Fax (314) 831-0153

Other Identifiers 1

Medicaid133195677AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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 S Borenstein Md 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 ID6901840198
PECOS Enrollment IDI20180122000882, I20240214003212
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 2

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
15 services15 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

92.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.04
Improvement Activities40
Cost65.17

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%69 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%220 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%200 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%200 patients5/55-star benchmark: 100%
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
100%1,241 patients5/55-star benchmark: 100%
Rate of Timely Documentation Transmission to Dialysis Unit/Referring Physician
Percentage of patients aged 18 years and older for whom documentation is sent to the dialysis unit or referring physician within two days of the procedure completion or consultation.
79%1,181 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
97%200 patients5/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

NEPHROLOGY PHYSICIANS LLC
Clinic/Center (Ambulatory Surgical)
250 E DAY RD STE 300
MISHAWAKA, IN 46545
St. Joseph County (574) 273-6787
DR. BASHAR ERICSOOSSI M.D.
Internal Medicine (Nephrology)
250 E DAY RD STE 300
MISHAWAKA, IN 46545
St. Joseph County (574) 968-0283
DR. MOHAMMAD ADEL ALI M.D.
Radiology (Vascular & Interventional Radiology)
250 E DAY RD STE 300
MISHAWAKA, IN 46545
St. Joseph County (574) 970-0777
DR. SABAH DAVID BUTTY MD
Radiology (Vascular & Interventional Radiology)
250 E DAY RD STE 300
MISHAWAKA, IN 46545
St. Joseph County (574) 968-0283

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 Borenstein's NPI number?

The NPI number for Mark Borenstein is 1205891140. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mark Borenstein located?

Mark Borenstein practices at 250 E Day Rd Ste 300, Mishawaka, IN 46545. The listed phone number is (574) 273-6787.

What is Mark Borenstein's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Mark Borenstein enrolled in Medicare?

Yes. Mark Borenstein 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 Borenstein accept?

Health plans from Oscar Insurance Company list Mark Borenstein 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 Mark Borenstein was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.