DR. NICHOLAS NICHOLSON BORODULIA M.D.
NPI 1225004294
Family Medicine in Fenwick Island, DE

Q: What is Nicholas Borodulia's NPI number?

The NPI number for Nicholas Borodulia is 1225004294. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Nicholas Borodulia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment

1400 COASTAL HWY, FENWICK ISLAND, DE 19944(302) 581-0458(302) 581-0460 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2022, Jul 20, 2018 (2 updates tracked since 2018).

On this page

About Dr. Nicholas Nicholson Borodulia M.d. NPPES

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

DR. NICHOLAS NICHOLSON BORODULIA M.D. (NPI 1225004294) is an individual family medicine provider in Fenwick Island, Delaware, licensed in Maryland (D0028769) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of George Washington University School Of Medicine (1978).

NPPES Registry Identity

NPI1225004294

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICHOLAS NICHOLSON BORODULIACredential: M.D.

Location Address1400 COASTAL HWYFenwick Island, DE 19944-4452

Mailing Address12036 S Piney Point RdBishopville, MD 21813-1542 · (302) 581-0458 · Fax (302) 581-0460

Phone(302) 581-0458

Fax(302) 581-0460

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1978

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMay 11, 20222 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1225004294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MD · D0028769✔ Licensed in DE · C10001802

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.

1400 COASTAL HWY, Fenwick Island, DE 19944

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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. Nicholas Nicholson Borodulia 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 ID6608873138

PECOS Enrollment IDI20061026000157, I20061026000181

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 10

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.

396 services99 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

182 services35 patients

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.

86 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

67 services42 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

52 services49 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

40 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210061

Location9733 Healthway DriveBerlin, MD 21811 · Worcester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19944 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers17 claims38 services$6.42 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier21 claims21 services$45.00 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier15 claims15 services$41.22 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.95 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$28.12 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 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 2

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

FENWICK MEDICAL CENTER PA

Clinic/Center (Primary Care)

1400 COASTAL HWY
FENWICK ISLAND, DE 19944

Sussex County (302) 581-0458

SHANNON SMITH NP

Nurse Practitioner (Family)

1400 COASTAL HWY
FENWICK ISLAND, DE 19944

Sussex County (443) 373-3245

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 Nicholas Borodulia's NPI number?

The NPI number for Nicholas Borodulia is 1225004294. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Nicholas Borodulia located?

Nicholas Borodulia practices at 1400 Coastal Hwy, Fenwick Island, DE 19944. The listed phone number is (302) 581-0458.

What is Nicholas Borodulia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Borodulia enrolled in Medicare?

Yes. Nicholas Borodulia 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 Nicholas Borodulia accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Nicholas Borodulia 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 Nicholas Borodulia affiliated with any hospitals?

According to CMS data, Nicholas Borodulia is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Borodulia was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.