DR. MICHAEL JOHN SUNDBORG M.D.
NPI 1508857962
Obstetrics & Gynecology - Gynecologic Oncology in Southern Pines, NC

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
74.95/100
CMS Quality Rating
145 APPLECROSS RD, SOUTHERN PINES, NC 28388(910) 692-7928(910) 692-5962 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael John Sundborg M.d. NPPES

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

DR. MICHAEL JOHN SUNDBORG M.D. (NPI 1508857962) is an individual gynecologic oncology provider in Southern Pines, North Carolina, licensed in North Carolina (2009-00486) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1994).

NPPES Registry Identity

NPI1508857962
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. MICHAEL JOHN SUNDBORGCredential: M.D.
Location Address145 APPLECROSS RDSouthern Pines, NC 28388-0749
Mailing Address145 Applecross RdSouthern Pines, NC 28388-0749 · (910) 692-7928 · Fax (910) 692-5962
Fax(910) 692-5962
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1994
Enumeration DateNovember 3, 2005
Last NPPES UpdateDecember 13, 2013
NPI 1508857962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in NC · 2009-00486
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
145 APPLECROSS RD, Southern Pines, NC 28388

Other Identifiers 2

Medicare PINNC7002ANC
Medicaid5920428NC

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. Michael John Sundborg 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 ID8820257850
PECOS Enrollment IDI20120720000481
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 7

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.

Injection, heparin sodium, (heparin lock flush), per 10 units J1642
Heparin sodium injection, often referred to as a heparin lock flush, is a procedure used to prevent blood clots in the veins. It involves injecting a small amount of heparin, a blood-thinning medication, into an intravenous (IV) line to keep it open and prevent blockages.
1,350 services14 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.
87 services37 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.
68 services39 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.
51 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28388 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

74.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.33
Promoting Interoperability92
Improvement Activities40
Cost39.83

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 Michael Sundborg's NPI number?

The NPI number for Michael Sundborg is 1508857962. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Michael Sundborg located?

Michael Sundborg practices at 145 Applecross Rd, Southern Pines, NC 28388. The listed phone number is (910) 692-7928.

What is Michael Sundborg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Michael Sundborg enrolled in Medicare?

Yes. Michael Sundborg 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 Michael Sundborg accept?

Health plans from Blue Cross and Blue Shield of NC list Michael Sundborg 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 Michael Sundborg affiliated with any hospitals?

According to CMS data, Michael Sundborg is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Sundborg was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.