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PAULO BORGES M.D.
NPI 1366650418
Family Medicine in Uniontown, OH

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
1700 BOETTLER RD STE 100, UNIONTOWN, OH 44685(330) 896-0009(330) 896-0032 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Nov 23, 2020 (2 updates tracked since 2020).

About Paulo Borges M.d. NPPES

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

PAULO BORGES M.D. (NPI 1366650418) is an individual family medicine provider in Uniontown, Ohio, licensed in Ohio (BB5202786-156) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366650418
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAULO BORGESCredential: M.D.
Location Address1700 BOETTLER RD STE 100Uniontown, OH 44685-7793
Mailing Address1700 Boettler Rd Ste 100, Suite AUniontown, OH 44685-7793 · (330) 896-0009 · Fax (330) 896-0032
Phone(330) 896-0009
Fax(330) 896-0032
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 21, 2007
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1366650418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · BB5202786-156
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.
1700 BOETTLER RD STE 100, Uniontown, OH 44685
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Other Identifiers 1

Medicaid2871987OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paulo Borges 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 ID5092881482
PECOS Enrollment IDI20080909000411
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.

Medicare Billing Reassignment

Medicare enrollment records show Paulo Borges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Care Inc.
7.7 mi
Family Medicine
944 CHERRY ST E
Canal Fulton, OH 44614
  • Reassigned Medicare billing, Ohio enrollment
  • 68 clinicians in this Medicare group
NPI 1114902137 (330) 854-4574

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
150 services100 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.
125 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 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.
26 services24 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.
23 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44685 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers12 claims12 services$5.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers14 claims36 services$10.77 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims60 services$1.85 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 3

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

TABETHA STATEN NP
Nurse Practitioner (Gerontology)
1700 BOETTLER RD STE 100
GREEN, OH 44685
Stark County (330) 896-0009
MRS. ELISABETH J. GRUBER DILLARD LISW
Social Worker (Clinical)
1700 BOETTLER RD STE 100
UNIONTOWN, OH 44685
Stark County (330) 896-0009
KELSEY CASANO NP
Nurse Practitioner (Primary Care)
1700 BOETTLER RD STE 100
UNIONTOWN, OH 44685
Stark County (330) 896-0009

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 Paulo Borges's NPI number?

The NPI number for Paulo Borges is 1366650418. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Paulo Borges located?

Paulo Borges practices at 1700 Boettler Rd Ste 100, Uniontown, OH 44685. The listed phone number is (330) 896-0009.

What is Paulo Borges's specialty?

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

Is Paulo Borges enrolled in Medicare?

Yes. Paulo Borges 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.

Which organization bills Medicare for Paulo Borges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulo Borges reassigns Medicare benefits to Community Health Care Inc. (Canal Fulton, OH). The 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 Paulo Borges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paulo Borges accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Insurance Corporation of Ohio, SummaCare and UnitedHealthcare list Paulo Borges 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 Paulo Borges affiliated with any hospitals?

According to CMS data, Paulo Borges is affiliated with Summa Health System and Akron General Medical Center.

When was this NPI record last updated?

The NPPES record for Paulo Borges was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.