RYAN JAMES BORST M.D.
NPI 1518499201
Emergency Medicine in Atlanta, GA
About Ryan James Borst M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN JAMES BORST M.D. (NPI 1518499201) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (85595) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Wayne State University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ryan James Borst 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ryan Borst reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
- 128 clinicians in this Medicare group
Warner Robins, GA 31093
- Reassigned Medicare billing, Georgia enrollment
- 208 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 112 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ATLANTA, GA 30328
ATLANTA, GA 30328
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 Ryan Borst's NPI number?
The NPI number for Ryan Borst is 1518499201. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Ryan Borst located?
Ryan Borst practices at 5665 New Northside Dr Ste 320, Atlanta, GA 30328. The listed phone number is (770) 874-6851.
What is Ryan Borst's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ryan Borst enrolled in Medicare?
Yes. Ryan Borst 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 organizations bill Medicare for Ryan Borst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Borst reassigns Medicare benefits to 3 organizations: Cep America LLC (Decatur, GA), Houston County Emergency Group, LLC (Warner Robins, GA) and Vituity - Michigan Em PC (Lansing, MI). Each 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 Ryan Borst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Borst accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health and Oscar Insurance Company list Ryan Borst 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 Ryan Borst affiliated with any hospitals?
According to CMS data, Ryan Borst is affiliated with Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Borst was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ryan James Borst, M.D. · NPI 1518499201
Emergency Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1518499201 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 85595 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5665 NEW NORTHSIDE DR STE 320, Atlanta, GA 30328-5834
- **Phone:** (770) 874-6851 · **Fax:** (770) 874-5435
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1215982814, Decatur, GA); Houston County Emergency Group, LLC (NPI 1013338193, Warner Robins, GA); Vituity - Michigan Em PC (NPI 1144892332, Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1518499201) · Data from the CMS NPPES public registry.