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DR. THEODORE BORGMAN M.D.
NPI 1770634503
Internal Medicine in New Orleans, LA

Active since January 16, 2007PECOS Enrolled
96.9/100
CMS Quality Rating
3700 SAINT CHARLES AVE FL 4, NEW ORLEANS, LA 70115(504) 897-7007(504) 897-7789 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2019, Feb 27, 2019 (2 updates tracked since 2019).

About Dr. Theodore Borgman M.d. NPPES

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

DR. THEODORE BORGMAN M.D. (NPI 1770634503) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (02416R) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1770634503
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE BORGMANCredential: M.D.
Location Address3700 SAINT CHARLES AVE FL 4New Orleans, LA 70115-4637
Mailing Address3600 Prytania St, Suite 35New Orleans, LA 70115-3628 · (504) 897-7197
Phone(504) 897-7007
Fax(504) 897-7789
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration
✔ NPI 1770634503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 02416R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3700 SAINT CHARLES AVE FL 4, New Orleans, LA 70115
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Secondary Practice Location 1

Location 13434 Prytania St, SUITE 300New Orleans, LA 70115-3532 · Phone (504) 897-8118 · Fax (504) 897-8644

Other Identifiers 1

Medicaid1088030LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Borgman M.d. 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.

Areas of Expertise CMS Part B claims 4

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 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.
39 services35 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.
36 services31 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.
18 services18 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims42 services$4.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$195.14 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 4

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

DR. HOUSTON GORDON BONNYMAN M.D.
Family Medicine
3700 SAINT CHARLES AVE FL 4
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-8412
STEPHANIE E LOSQ-SARKAR M.D.
Family Medicine
3700 SAINT CHARLES AVE FL 4
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-7007
ANNE JACOB CARRERE M.D.
Internal Medicine
3700 SAINT CHARLES AVE FL 4
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-7007
ANDREW JAY SIEGEL
Internal Medicine
3700 SAINT CHARLES AVE FL 4
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-7007

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 Theodore Borgman's NPI number?

The NPI number for Theodore Borgman is 1770634503. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Theodore Borgman located?

Theodore Borgman practices at 3700 Saint Charles Ave Fl 4, New Orleans, LA 70115. The listed phone number is (504) 897-7007.

What is Theodore Borgman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Borgman enrolled in Medicare?

Yes. Theodore Borgman is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Borgman accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Theodore Borgman 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 Theodore Borgman was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.