DR. ETHAN REUVAN BORNSTEIN M.D.
NPI 1558789933
Internal Medicine in Chinle, AZ

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
84.24/100
CMS Quality Rating

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethan Reuvan Bornstein M.d. NPPES

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

DR. ETHAN REUVAN BORNSTEIN M.D. (NPI 1558789933) is an individual internal medicine provider in Chinle, Arizona, licensed in Colorado (DR.0058527) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1558789933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ETHAN REUVAN BORNSTEINCredential: M.D.
Location AddressPO BOX PHChinle, AZ 86503-8000
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7001
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateJanuary 23, 2018
NPI 1558789933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CO · DR.0058527
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PO BOX PH, Chinle, AZ 86503

Other Names 1

Other Name (5)Eitan Bornstein

Other Identifiers 1

Medicaid1558789933AZ

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. Ethan Reuvan Bornstein 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 ID244456291
PECOS Enrollment IDI20171010001544
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86503 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.91
Promoting Interoperability98
Improvement Activities40
Cost67.56

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims15 services$19.89 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
1 supplier14 claims15 services$105.80 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 20

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

Pediatrics (Pediatric Hematology-Oncology)
PO BOX PH
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503
Optometrist
PO BOX PH, HIGHWAY 191 AND HOSPITAL DRIVE
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503
Pharmacist
PO BOX PH
CHINLE, AZ 86503

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 Ethan Bornstein's NPI number?

The NPI number for Ethan Bornstein is 1558789933. It was assigned to this individual provider in the NPPES registry on April 2, 2014. The provider is also known as Eitan Bornstein.

Where is Ethan Bornstein located?

Ethan Bornstein practices at PO Box Ph, Chinle, AZ 86503. The listed phone number is (928) 674-7001.

What is Ethan Bornstein's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethan Bornstein enrolled in Medicare?

Yes. Ethan Bornstein 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.

When was this NPI record last updated?

The NPPES record for Ethan Bornstein was last updated on January 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.