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DR. MANUEL E BOROBIA MD
NPI 1801358148
Emergency Medicine in Gainesville, FL

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1329 SW 16TH ST STE 5270, GAINESVILLE, FL 32608(352) 733-1471 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Apr 4, 2019 (2 updates tracked since 2019).

About Dr. Manuel E Borobia Md NPPES

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

DR. MANUEL E BOROBIA MD (NPI 1801358148) is an individual emergency medicine provider in Gainesville, Florida, licensed in Florida (ME156261) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801358148
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MANUEL E BOROBIACredential: MD
Location Address1329 SW 16TH ST STE 5270Gainesville, FL 32608-1128
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(352) 733-1471
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1801358148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME156261
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1329 SW 16TH ST STE 5270, Gainesville, FL 32608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Manuel E Borobia Md 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 ID7618206517
PECOS Enrollment IDI20220805001932
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services58 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
77 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

ASHLEY SIMENSON-LINTZ MD
Student in an Organized Health Care Education/Training Program
1329 SW 16TH ST STE 5270
GAINESVILLE, FL 32608
Alachua County (352) 265-5911
MICHELLE THANH NGUYEN MD
Emergency Medicine
1329 SW 16TH ST STE 5270
GAINESVILLE, FL 32608
Alachua County (352) 733-1471
SARAH CHRABASZCZ
Emergency Medicine (Sports Medicine)
1329 SW 16TH ST STE 5270
GAINESVILLE, FL 32608
Alachua County (352) 265-5911
DR. NICOLAS DU FAYET DE LA TOUR DO
Emergency Medicine
1329 SW 16TH ST STE 5270
GAINESVILLE, FL 32608
Alachua County (352) 733-1471

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 Manuel Borobia's NPI number?

The NPI number for Manuel Borobia is 1801358148. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Manuel Borobia located?

Manuel Borobia practices at 1329 SW 16th St Ste 5270, Gainesville, FL 32608. The listed phone number is (352) 733-1471.

What is Manuel Borobia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Manuel Borobia enrolled in Medicare?

Yes. Manuel Borobia 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 Manuel Borobia accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Manuel Borobia 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 Manuel Borobia affiliated with any hospitals?

According to CMS data, Manuel Borobia is affiliated with Shands Jacksonville and Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Manuel Borobia was last updated on August 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.