DR. SUSAN D BORCHERS M.D.
NPI 1386648186
Internal Medicine - Sleep Medicine in Columbus, OH

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
7630 RIVERS EDGE DR, COLUMBUS, OH 43235(614) 533-4000(614) 540-3979 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Susan D Borchers M.d. NPPES

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

DR. SUSAN D BORCHERS M.D. (NPI 1386648186) is an individual sleep medicine provider in Columbus, Ohio, licensed in Ohio (35062298) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1386648186
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameDR. SUSAN D BORCHERSCredential: M.D.
Location Address7630 RIVERS EDGE DRColumbus, OH 43235-1329
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Fax(614) 540-3979
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateJune 9, 2005
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPI 1386648186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in OH · 35062298
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35062298 (OH)
7630 RIVERS EDGE DR, Columbus, OH 43235

Other Identifiers 1

Medicaid0157566OH

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

Dr. Susan D Borchers 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 ID7416855366
PECOS Enrollment IDI20040226000210
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 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.

Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
202 services200 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
177 services170 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.
148 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
138 services138 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 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.
30 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43235 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
24 suppliers276 claims276 services$32.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
28 suppliers343 claims344 services$75.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
27 suppliers300 claims705 services$29.49 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers251 claims1,212 services$14.93 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
19 suppliers255 claims1,160 services$11.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
28 suppliers571 claims571 services$44.30 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 20

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

Nurse Practitioner
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Nurse Practitioner (Family)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Internal Medicine (Cardiovascular Disease)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Psychiatry & Neurology (Neurology)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235
Clinical Nurse Specialist (Adult Health)
7630 RIVERS EDGE DR
COLUMBUS, OH 43235

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 Susan Borchers's NPI number?

The NPI number for Susan Borchers is 1386648186. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Susan Borchers located?

Susan Borchers practices at 7630 Rivers Edge Dr, Columbus, OH 43235. The listed phone number is (614) 533-4000.

What is Susan Borchers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Susan Borchers enrolled in Medicare?

Yes. Susan Borchers 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 Susan Borchers accept?

Health plans from CareSource and MedMutual list Susan Borchers 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 Susan Borchers affiliated with any hospitals?

According to CMS data, Susan Borchers is affiliated with Riverside Methodist Hospital, Grant Medical Center and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Susan Borchers was last updated on December 22, 2021. 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.