GRACE ELIZABETH BORTON DO
NPI 1275061699
Family Medicine in Muncie, IN

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
221 N CELIA AVE, MUNCIE, IN 47303(765) 747-3141(765) 741-2977 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 3, 2021, May 30, 2017 (3 updates tracked since 2017).

About Grace Elizabeth Borton Do NPPES

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

GRACE ELIZABETH BORTON DO (NPI 1275061699) is an individual family medicine provider in Muncie, Indiana, licensed in Minnesota (69513) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275061699
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRACE ELIZABETH BORTONCredential: DO
Location Address221 N CELIA AVEMuncie, IN 47303-4609
Mailing Address221 N Celia AveMuncie, IN 47303-4609 · (765) 747-3141 · Fax (765) 741-2977
Fax(765) 741-2977
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1275061699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 69513
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.
221 N CELIA AVE, Muncie, IN 47303

Accepted 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

Grace Elizabeth Borton Do 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 ID6204174022
PECOS Enrollment IDI20210727000740
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 14

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.
100 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
86 services51 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
42 services41 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
38 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services25 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.
34 services27 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Family Medicine
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
221 N CELIA AVE
MUNCIE, IN 47303

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 Grace Borton's NPI number?

The NPI number for Grace Borton is 1275061699. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Grace Borton located?

Grace Borton practices at 221 N Celia Ave, Muncie, IN 47303. The listed phone number is (765) 747-3141.

What is Grace Borton's specialty?

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

Is Grace Borton enrolled in Medicare?

Yes. Grace Borton 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 Grace Borton accept?

Health plans from Medica and Sanford Health Plan list Grace Borton 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 Grace Borton affiliated with any hospitals?

According to CMS data, Grace Borton is affiliated with M Health Fairview Southdale Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Grace Borton was last updated on July 21, 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.