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ADENA FERN BORODKIN DDS
NPI 1699868604
Dentist - Pediatric Dentistry in Edina, MN

Active since October 02, 2006PECOS Enrolled
5128 TIFTON DR, EDINA, MN 55439(952) 942-7414 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adena Fern Borodkin Dds NPPES

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

ADENA FERN BORODKIN DDS (NPI 1699868604) is an individual pediatric dentistry provider in Edina, Minnesota, licensed in Minnesota (D11961) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1699868604
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameADENA FERN BORODKINCredential: DDS
Location Address5128 TIFTON DREdina, MN 55439-1457
Mailing Address5128 Tifton DrEdina, MN 55439-1457 · (952) 942-7414
Phone(952) 942-7414
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1699868604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MN · D11961
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5128 TIFTON DR, Edina, MN 55439
Open in Google Maps ↗

Secondary Practice Location 1

Location 1715 S 8th StMinneapolis, MN 55404-1210 · Phone (612) 873-6963

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Adena Fern Borodkin Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Adena Borodkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin Healthcare System, Inc
7.9 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Adena Borodkin's NPI number?

The NPI number for Adena Borodkin is 1699868604. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Adena Borodkin located?

Adena Borodkin practices at 5128 Tifton Dr, Edina, MN 55439. The listed phone number is (952) 942-7414.

What is Adena Borodkin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Adena Borodkin enrolled in Medicare?

Yes. Adena Borodkin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adena Borodkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adena Borodkin reassigns Medicare benefits to Hennepin Healthcare System, Inc (Minneapolis, MN). The 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 Adena Borodkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adena Borodkin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Adena Borodkin 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 Adena Borodkin was last updated on January 5, 2024. 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.