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BILLIE BORDEN MD
NPI 1538513395
Surgery in Springfield, MA

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
100 WASON AVENUE, SUITE 340, SPRINGFIELD, MA 01107(413) 794-8899(413) 794-1794 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 9, 2025, Oct 5, 2022, Jul 17, 2022 (3 updates tracked since 2022).

About Billie Borden Md NPPES

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

BILLIE BORDEN MD (NPI 1538513395) is an individual surgery provider in Springfield, Massachusetts, licensed in Massachusetts (294999) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2016).

NPPES Registry Identity

NPI1538513395
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBILLIE BORDENCredential: MD
Location Address100 WASON AVENUE, SUITE 340Springfield, MA 01107-1179
Mailing Address280 Chestnut Street, 2nd FlSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-8899
Fax(413) 794-1794
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1538513395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 294999
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 WASON AVENUE, Springfield, MA 01107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Billie Borden 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 ID2769720010
PECOS Enrollment IDI20221103002027
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.

Hospital Affiliations CMS Care Compare 4

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

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEPHEN J GALLO M.D.
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Hampden County (413) 241-2100
HOLLY S MASON M.D.
Surgery
100 WASON AVENUE
SPRINGFIELD, MA 01107
Hampden County (413) 794-5265
MARCELLA G MCDEVITT AU.D.,CCC-A
Audiologist
100 WASON AVENUE, SUITE 100
SPRINGFIELD, MA 01107
Hampden County (413) 732-7426
DR. ROBERT W EPPSTEINER MD
Otolaryngology
100 WASON AVENUE, SUITE 100
SPINGFIELD, MA 01107
Hampden County (413) 732-7426
TRICIA A. PORTER NP
Nurse Practitioner (Family)
100 WASON AVENUE, SUITE 230
SPRINGFIELD, MA 01107
Hampden County (413) 788-6139
DR. DANIEL I PLOSKY MD
Otolaryngology
100 WASON AVENUE, SUITE 100
SPRINGFIELD, MA 01107
Hampden County (413) 732-7426
MS. ILA KAREN SHEBAR NP
Nurse Practitioner (Women's Health)
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Hampden County (413) 241-2100
OSCAR L ELGUERO M.D.
Urology
100 WASON AVENUE, SUITE 120
SPRINGFIELD, MA 01107
Hampden County (413) 241-2100

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 Billie Borden's NPI number?

The NPI number for Billie Borden is 1538513395. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Billie Borden located?

Billie Borden practices at 100 Wason Avenue Suite 340, Springfield, MA 01107. The listed phone number is (413) 794-8899.

What is Billie Borden's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Billie Borden enrolled in Medicare?

Yes. Billie Borden 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 Billie Borden accept?

Health plans from Anthem Blue Cross and Blue Shield list Billie Borden 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 Billie Borden affiliated with any hospitals?

According to CMS data, Billie Borden is affiliated with Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Billie Borden was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.