EDWIN LAWRENCE BOREN JR. MD
NPI 1598723231
Radiology - Diagnostic Radiology in Plano, TX

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
3901 W 15TH ST, PLANO, TX 75075(972) 596-6800 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Edwin Lawrence Boren Jr. Md NPPES

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

EDWIN LAWRENCE BOREN JR. MD (NPI 1598723231) is an individual diagnostic radiology provider in Plano, Texas, licensed in Texas (K9489) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of University Of Arkansas College Of Medicine (1993).

NPPES Registry Identity

NPI1598723231
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWIN LAWRENCE BOREN JR.Credential: MD
Location Address3901 W 15TH STPlano, TX 75075
Mailing Address1820 Preston Park Blvd, 1825Plano, TX 75093-3656 · (972) 867-7862 · Fax (972) 612-1623
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1993
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 9, 2016
✔ NPI 1598723231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · K9489
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3901 W 15TH ST, Plano, TX 75075

Other Identifiers 3

Other89274RTX · Collin County Ptan
Medicare UPING74076
Medicaid113749901TX

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

Edwin Lawrence Boren Jr. 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 ID446270441
PECOS Enrollment IDI20051206000756
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Edwin Boren reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
3700 W 15TH ST, BUILDING D, SUITE 200
Plano, TX 75075
  • Reassigned Medicare billing, Texas enrollment
  • 213 clinicians in this Medicare group
Diagnostic Radiology
1820 PRESTON PARK BLVD STE 2400
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 209 clinicians in this Medicare group
Radiology
3465 NATIONAL DRIVE, SUITE 110
Plano, TX 75025
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
Radiology
4780 N JOSEY LN
Carrollton, TX 75010
  • Reassigned Medicare billing, Texas enrollment
  • 201 clinicians in this Medicare group
Radiology
11970 N CENTRAL EXPY STE 100
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 216 clinicians in this Medicare group
Radiology
8501 WADE BLVD., SUITE 220
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
Radiology
997 RAINTREE CIRCLE, SUITE 110
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 229 clinicians in this Medicare group
Radiology
2535 IRA E WOODS AVE STE 101
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 194 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 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 50

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
963 services788 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
279 services269 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
198 services169 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
169 services166 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
126 services124 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
119 services118 patients

Hospital Affiliations CMS Care Compare 5

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%27 patients
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
98%57 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,066 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%87 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Emergency Medicine
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Anesthesiology
3901 W 15TH ST
PLANO, TX 75075
Pharmacist
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Nurse Practitioner (Neonatal)
3901 W 15TH ST
PLANO, TX 75075

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 Edwin Boren's NPI number?

The NPI number for Edwin Boren is 1598723231. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Edwin Boren located?

Edwin Boren practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (972) 596-6800.

What is Edwin Boren's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edwin Boren enrolled in Medicare?

Yes. Edwin Boren 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 Edwin Boren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Boren reassigns Medicare benefits to 9 organizations: North Star Diagnostic Imaging, LLC (Plano, TX), Texas Radiology Associates LLP (Plano, TX), North Star Mcd, LLC (Plano, TX), North Star Cn, LP (Carrollton, TX), North Star Fp, LP (Dallas, TX) and 4 more organizations, listed in the Medicare section above. 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 Edwin Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Boren accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Edwin Boren 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 Edwin Boren affiliated with any hospitals?

According to CMS data, Edwin Boren is affiliated with Medical Center Of Mckinney, Medical City Denton, Medical City Plano, Medical City Lewisville and Medical City Arlington.

When was this NPI record last updated?

The NPPES record for Edwin Boren was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.