DR. JACK C BORDERS JR. MD
NPI 1306800404
Otolaryngology - Pediatric Otolaryngology in San Antonio, TX
About Dr. Jack C Borders Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK C BORDERS JR. MD (NPI 1306800404) is an individual pediatric otolaryngology provider in San Antonio, Texas, licensed in Wisconsin (3792) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jack C Borders Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jack Borders reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Camilla, GA 31730
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
SAN ANTONIO, TX 78207
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 Jack Borders's NPI number?
The NPI number for Jack Borders is 1306800404. It was assigned to this individual provider in the NPPES registry on April 14, 2006.
Where is Jack Borders located?
Jack Borders practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.
What is Jack Borders's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Jack Borders enrolled in Medicare?
Yes. Jack Borders is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jack Borders's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Borders reassigns Medicare benefits to 3 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK), Phoebe Senior Center (Camilla, GA) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Borders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Borders accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Nebraska and 6 other insurers list Jack Borders 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 Jack Borders was last updated on March 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.
# Dr. Jack C Borders Jr., MD · NPI 1306800404
Pediatric Otolaryngology physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since April 14, 2006.
## Identity
- **NPI:** 1306800404 (Entity type: Individual)
- **Enumerated:** April 14, 2006
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** 3792 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 N SANTA ROSA, San Antonio, TX 78207-3108
- **Phone:** (210) 704-3030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250, Oklahoma City, OK); Phoebe Senior Center (NPI 1821394271, Camilla, GA); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2024
- **Other identifiers:** Medicaid 000617801F (GA); Medicaid 000617801B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306800404) · Data from the CMS NPPES public registry.