RYAN JAMES BORST M.D.
NPI 1518499201
Emergency Medicine in Atlanta, GA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
99.04/100
CMS Quality Rating
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328(770) 874-6851(770) 874-5435 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2023, Jun 30, 2020, Mar 31, 2017 (3 updates tracked since 2017).

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

NPI1518499201
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRYAN JAMES BORSTCredential: M.D.
Location Address5665 NEW NORTHSIDE DR STE 320Atlanta, GA 30328-5834
Mailing Address5665 New Northside Dr Ste 320Atlanta, GA 30328-5834 · (770) 874-6851 · Fax (770) 874-5435
Fax(770) 874-5435
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1518499201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in GA · 85595 Licensed in MI · 4301510309
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5665 NEW NORTHSIDE DR STE 320, Atlanta, GA 30328

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

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.

PECOS PAC ID2860819166
PECOS Enrollment IDI20231212001542
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
211 services202 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

99.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.87
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Nurse Practitioner (Adult Health)
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Emergency Medicine
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Physician Assistant
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Physician Assistant
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Nurse Practitioner
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Emergency Medicine
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
Nurse Practitioner (Family)
5665 NEW NORTHSIDE DR STE 320
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.

What insurance does Ryan Borst accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 with the weekly NPPES data releases published by CMS.