MACHAILLE BORGSMILLER D.O.
NPI 1609308881
Family Medicine in Shawnee, OK

Q: What is Machaille Borgsmiller's NPI number?

The NPI number for Machaille Borgsmiller is 1609308881. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Machaille Borgsmiller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

3315 KETHLEY RD, SHAWNEE, OK 74804(405) 273-5801(405) 878-3794 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2020, Aug 18, 2017, Mar 28, 2017 (3 updates tracked since 2017).

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About Machaille Borgsmiller D.o. NPPES

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

MACHAILLE BORGSMILLER D.O. (NPI 1609308881) is an individual family medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (6142) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609308881

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMACHAILLE BORGSMILLERCredential: D.O.

Location Address3315 KETHLEY RDShawnee, OK 74804-9638

Mailing Address3315 Kethley RdShawnee, OK 74804-9638 · (405) 273-5801 · Fax (405) 878-3794

Phone(405) 273-5801

Fax(405) 878-3794

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 28, 2017

Last NPPES UpdateOctober 16, 20203 updates tracked since enumeration

NPPES CertifiedOctober 16, 2020

✔ NPI 1609308881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OK · 6142✔ Licensed in OK · 0125R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3315 KETHLEY RD, Shawnee, OK 74804

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Secondary Practice Locations 2

Location 13315 Kethley RdShawnee, OK 74804-9638 · Phone (405) 273-5801 · Fax (405) 878-3794

Location 21800 W University BlvdDurant, OK 74701-3006 · Phone (580) 924-5500 · Fax (580) 924-1991

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Machaille Borgsmiller D.o. 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 ID4486926573

PECOS Enrollment IDI20190913001473

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 Reassignment

Medicare enrollment records show Machaille Borgsmiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saints Medical Group, LLC

35 mi

Family Medicine

777 NW 63RD ST STE 452
Oklahoma City, OK 73116

Reassigned Medicare billing, Oklahoma enrollment
507 clinicians in this Medicare group

NPI 1437195922 (405) 231-3857

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

382 services156 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

109 services109 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

70 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

2 suppliers16 claims16 services$18.68 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier17 claims17 services$23.16 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

2 suppliers16 claims16 services$102.00 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.

DR. JEREMY PATRICK HOLTER MD

Internal Medicine