ELAINE BORON DO
NPI 1811335664
Family Medicine in Pittsburgh, PA

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
90.63/100
CMS Quality Rating
111 SHERIDAN ST, PITTSBURGH, PA 15209(412) 821-2277(412) 821-1453 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2021, Apr 6, 2021, Sep 29, 2015 (3 updates tracked since 2015).

About Elaine Boron Do NPPES

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

ELAINE BORON DO (NPI 1811335664) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS018268) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1811335664
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELAINE BORONCredential: DO
Location Address111 SHERIDAN STPittsburgh, PA 15209-2639
Mailing Address2 Hot Metal St, Quantum One, Suite 001Pittsburgh, PA 15203-2348
Fax(412) 821-1453
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateJune 2, 20213 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
NPI 1811335664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS018268
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT015027 (PA)
111 SHERIDAN ST, Pittsburgh, PA 15209

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

Elaine Boron Do 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 ID9133416159
PECOS Enrollment IDI20160920000082
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 2024 & 2026 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 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.
77 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services49 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.
36 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services17 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15209 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.33
Promoting Interoperability100
Improvement Activities40
Cost81.45

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
6 suppliers17 claims32 services$6.06 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
1 supplier12 claims12 services$209.00 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 8

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

Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Non-Pharmacy Dispensing Site
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Physician Assistant (Medical)
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811335664, enumerated as an "individual" on June 13, 2013.

The provider is located at 111 SHERIDAN ST PITTSBURGH, PA 15209 and the phone number is (412) 821-2277.

Family Medicine with taxonomy code 207Q00000X.

Elaine Boron is affiliated with: UPMC ST MARGARET, UPMC PASSAVANT and MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM.