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DR. DAWN MARIE BORROMEO BEAULIEU M.D.
NPI 1649368366
Internal Medicine - Gastroenterology in Nashville, TN

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1211 21ST AVE SOUTH, SUITE 220 MAB, VANDERBILT IBD CENTER, NASHVILLE, TN 37232(615) 936-6866(615) 936-6951 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Sep 21, 2020 (2 updates tracked since 2020).

About Dr. Dawn Marie Borromeo Beaulieu M.d. NPPES

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

DR. DAWN MARIE BORROMEO BEAULIEU M.D. (NPI 1649368366) is an individual gastroenterology provider in Nashville, Tennessee, licensed in Tennessee (45153) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2003).

NPPES Registry Identity

NPI1649368366
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAWN MARIE BORROMEO BEAULIEUCredential: M.D.
Location Address1211 21ST AVE SOUTH, SUITE 220 MAB, VANDERBILT IBD CENTERNashville, TN 37232-2702
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 936-6866
Fax(615) 936-6951
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2003
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1649368366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · 45153
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1211 21ST AVE SOUTH, Nashville, TN 37232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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. Dawn Marie Borromeo Beaulieu 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 ID8820133051
PECOS Enrollment IDI20100302000125
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 5

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
94 services93 patients
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.
73 services52 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers21 claims740 services$4.21 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
4 suppliers15 claims460 services$2.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dawn Borromeo Beaulieu's NPI number?

The NPI number for Dawn Borromeo Beaulieu is 1649368366. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Dawn Borromeo Beaulieu located?

Dawn Borromeo Beaulieu practices at 1211 21st Ave South Suite 220 Mab, Vanderbilt Ibd Center, Nashville, TN 37232. The listed phone number is (615) 936-6866.

What is Dawn Borromeo Beaulieu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dawn Borromeo Beaulieu enrolled in Medicare?

Yes. Dawn Borromeo Beaulieu 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 Dawn Borromeo Beaulieu accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Dawn Borromeo Beaulieu 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 Dawn Borromeo Beaulieu affiliated with any hospitals?

According to CMS data, Dawn Borromeo Beaulieu is affiliated with Mercy Health - Lourdes Hospital and Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Dawn Borromeo Beaulieu was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.