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NATHAN BORGFELD MD
NPI 1467801779
Family Medicine in Seguin, TX

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
1350 E WALNUT ST, SEGUIN, TX 78155(830) 463-3323 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2022, Jun 10, 2022, Aug 26, 2019 (3 updates tracked since 2019).

About Nathan Borgfeld Md NPPES

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

NATHAN BORGFELD MD (NPI 1467801779) is an individual family medicine provider in Seguin, Texas, licensed in Texas (R5088) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Beeville, and maintains a secondary practice location in Kenedy.

NPPES Registry Identity

NPI1467801779
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN BORGFELDCredential: MD
Location Address1350 E WALNUT STSeguin, TX 78155-5126
Mailing AddressPo Box 1303Seguin, TX 78156-1303 · (830) 463-3323
Phone(830) 463-3323
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1467801779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R5088
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.
1350 E WALNUT ST, Seguin, TX 78155
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Secondary Practice Location 1

Location 1Kaiser Family Practice, 3349 South Hwy 181, Suite #3Kenedy, TX 78119 · Phone (830) 583-9355

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Nathan Borgfeld Md 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 ID6709174782
PECOS Enrollment IDI20190701002060
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 Nathan Borgfeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Family Health PLLC
Same address
Family Medicine
1350 E WALNUT ST
Seguin, TX 78155
  • Reassigned Medicare billing, Texas enrollment
NPI 1831833136 (830) 463-3323

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 8

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.
940 services188 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.
826 services150 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.
45 services45 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
35 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services25 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
29 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450082
Location1500 E Houston HwyBeeville, TX 78102 · Bee County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Gonzales, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450235
Location1110 North Sarah Dewitt DriveGonzales, TX 78629 · Gonzales County
Birthing friendly

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450597
Location2550 N EsplanadeCuero, TX 77954 · De Witt County
Emergency services Birthing friendly

Otto Kaiser Memorial Hospital

Critical Access Hospitals · Kenedy, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451364
Location3349 S Highway 181Kenedy, TX 78119 · Karnes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims21 services$5.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$15.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims33 services$95.07 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 2

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

LORA GEORGE PA-C
Physician Assistant
1350 E WALNUT ST
SEGUIN, TX 78155
Guadalupe County (830) 463-3323
LIGHTHOUSE FAMILY HEALTH PLLC
Family Medicine
1350 E WALNUT ST
SEGUIN, TX 78155
Guadalupe County (830) 463-3323

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 Nathan Borgfeld's NPI number?

The NPI number for Nathan Borgfeld is 1467801779. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Nathan Borgfeld located?

Nathan Borgfeld practices at 1350 E Walnut St, Seguin, TX 78155. The listed phone number is (830) 463-3323.

What is Nathan Borgfeld's specialty?

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

Is Nathan Borgfeld enrolled in Medicare?

Yes. Nathan Borgfeld 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 Nathan Borgfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Borgfeld reassigns Medicare benefits to Lighthouse Family Health PLLC (Seguin, TX). 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 Nathan Borgfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Borgfeld accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nathan Borgfeld 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 Nathan Borgfeld affiliated with any hospitals?

According to CMS data, Nathan Borgfeld is affiliated with Christus Spohn Hospital Beeville, Guadalupe Regional Medical Center, Memorial Hospital, Cuero Regional Hospital and Otto Kaiser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Borgfeld was last updated on July 14, 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.