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DR. WILLIAM A BORNSTEIN M.D.
NPI 1629086418
Internal Medicine - Endocrinology, Diabetes & Metabolism in Atlanta, GA

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400, ATLANTA, GA 30322(404) 778-3280(404) 778-5730 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William A Bornstein M.d. NPPES

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

DR. WILLIAM A BORNSTEIN M.D. (NPI 1629086418) is an individual endocrinology, diabetes & metabolism provider in Atlanta, Georgia, licensed in Georgia (028942) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1976).

NPPES Registry Identity

NPI1629086418
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. WILLIAM A BORNSTEINCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400Atlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg A, Internal Medicine/endocrinology Suite 4400Atlanta, GA 30322-1013 · (404) 778-3280 · Fax (404) 778-5730
Phone(404) 778-3280
Fax(404) 778-5730
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1976
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 20, 2007
✔ NPI 1629086418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 028942
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1365 CLIFTON RD NE BLDG A, Atlanta, GA 30322
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Other Identifiers 1

Medicare UPIND28981GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. William A 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 ID1850426529
PECOS Enrollment IDI20100319000399
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 2

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.
37 services29 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims46 services$6.32 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.

TONYA HERSHMAN PHARMD
Pharmacist (Pharmacotherapy)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (470) 895-5120
JOHN J DORAN M.D.
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-5380
MRS. JULIE MCINNIS SPANKOWSKI RN, MSN, ANCP-C
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-3712
CLAUDIA R UTESCH CDCES, RDN/LD
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (678) 365-9856
DR. DALE SHELTON DEAS JR. MD
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-5039
EMILY K JAMES MD
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (850) 218-9418
EILEEN MAHONEY RDN
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (803) 565-0649
JEFFREY R PINE M.D.
Internal Medicine (Pulmonary Disease)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - PULMONARY
ATLANTA, GA 30322
Dekalb County (404) 778-3261

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 William Bornstein's NPI number?

The NPI number for William Bornstein is 1629086418. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is William Bornstein located?

William Bornstein practices at 1365 Clifton Rd NE Bldg A Internal Medicine/Endocrinology Suite 4400, Atlanta, GA 30322. The listed phone number is (404) 778-3280.

What is William Bornstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is William Bornstein enrolled in Medicare?

Yes. William 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.

What insurance does William Bornstein accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list William Bornstein 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 William Bornstein affiliated with any hospitals?

According to CMS data, William Bornstein is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for William Bornstein was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.