DR. NEIL A BORJA D.O
NPI 1659660090
Family Medicine in South Burlington, VT

Active since April 06, 2011Opted out of Medicare · through Jul 1, 2027
54 W TWIN OAKS TER STE 12, SOUTH BURLINGTON, VT 05403(802) 343-2659(802) 499-2545 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2019, Mar 23, 2016 (2 updates tracked since 2016).

About Dr. Neil A Borja D.o NPPES

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

DR. NEIL A BORJA D.O (NPI 1659660090) is an individual family medicine provider in South Burlington, Vermont, licensed in Vermont (0320133990) and active in the NPI registry since April 2011. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659660090
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NEIL A BORJACredential: D.O
Location Address54 W TWIN OAKS TER STE 12South Burlington, VT 05403-7141
Mailing Address54 W Twin Oaks Ter Ste 12South Burlington, VT 05403-7141 · (802) 343-2659 · Fax (802) 499-2545
Fax(802) 499-2545
Sole ProprietorYes
Enumeration DateApril 6, 2011
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1659660090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VT · 0320133990 Licensed in OH · 34.012111
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.
Also ListedAcupuncturistTaxonomy 171100000X · License 032.0133990 (VT)
Also ListedIntegrative MedicineTaxonomy 202D00000X · License 032.0133990 (VT)
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 032.0133990 (VT)
54 W TWIN OAKS TER STE 12, South Burlington, VT 05403

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Neil A Borja D.o has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON, VT 05403
Chiropractor
54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON, VT 05403

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 Neil Borja's NPI number?

The NPI number for Neil Borja is 1659660090. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Neil Borja located?

Neil Borja practices at 54 W Twin Oaks Ter Ste 12, South Burlington, VT 05403. The listed phone number is (802) 343-2659.

What is Neil Borja's specialty?

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

Is Neil Borja enrolled in Medicare?

No. Neil Borja has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Neil Borja accept?

Health plans from CareSource list Neil Borja 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.

When was this NPI record last updated?

The NPPES record for Neil Borja was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.