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MR. DANIEL BORGSTADT M.D.
NPI 1457332330
Family Medicine in Clovis, CA

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
255 W HERNDON AVE # 103, CLOVIS, CA 93612(559) 326-2999 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Daniel Borgstadt M.d. NPPES

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

MR. DANIEL BORGSTADT M.D. (NPI 1457332330) is an individual family medicine provider in Clovis, California, licensed in California (G53110) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clovis, and is a graduate of Oral Roberts University School Of Medicine (1983).

NPPES Registry Identity

NPI1457332330
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DANIEL BORGSTADTCredential: M.D.
Location Address255 W HERNDON AVE # 103Clovis, CA 93612-0381
Mailing AddressPo Box 28949Fresno, CA 93729-8949 · (559) 228-4200
Phone(559) 326-2999
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 1983
Enumeration DateNovember 8, 2005
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1457332330 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 CA · G53110
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License G53110 (CA)
255 W HERNDON AVE # 103, Clovis, CA 93612
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Secondary Practice Location 1

Location 1275 W Herndon AveClovis, CA 93612-0204 · Phone (559) 324-6200 · Fax (559) 324-6280

Other Identifiers 4

Other110121877CA · Railroad Medicare
Medicaid00G531100CA
Other77040368493612B009CA · Champus
Other00G531100CA · Blue Cross/blue Shield

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

Mr. Daniel Borgstadt 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 ID9335211895
PECOS Enrollment IDI20080628000176
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 Daniel Borgstadt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dan Borgstadt MD Inc
Same address
Family Medicine
255 W HERNDON AVE STE 103
Clovis, CA 93612
  • Reassigned Medicare billing, California enrollment
NPI 1508515479 (559) 326-2999

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 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.
263 services94 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.
217 services91 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.
59 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
59 services59 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.
46 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 4

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
7 suppliers20 claims41 services$5.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims81 services$1.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.62 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 supplier12 claims12 services$185.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daniel Borgstadt's NPI number?

The NPI number for Daniel Borgstadt is 1457332330. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Daniel Borgstadt located?

Daniel Borgstadt practices at 255 W Herndon Ave # 103, Clovis, CA 93612. The listed phone number is (559) 326-2999.

What is Daniel Borgstadt's specialty?

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

Is Daniel Borgstadt enrolled in Medicare?

Yes. Daniel Borgstadt 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 Daniel Borgstadt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Borgstadt reassigns Medicare benefits to Dan Borgstadt MD Inc (Clovis, CA). 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 Daniel Borgstadt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Borgstadt was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.