TIMOTHY J BORELLI
NPI 1861567141
Internal Medicine - Infectious Disease in Augusta, ME

Q: What is Timothy Borelli's NPI number?

The NPI number for Timothy Borelli is 1861567141. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Timothy Borelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Borelli was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

79.27/100

CMS Quality Rating

6 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-4110(207) 622-6078 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timothy J Borelli NPPES

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

TIMOTHY J BORELLI (NPI 1861567141) is an individual infectious disease provider in Augusta, Maine, licensed in Maine (2008) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2004).

NPPES Registry Identity

NPI1861567141

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameTIMOTHY J BORELLI

Location Address6 E CHESTNUT STAugusta, ME 04330-5717

Mailing Address6 E Chestnut StAugusta, ME 04330-5717 · (207) 626-4110 · Fax (207) 622-6078

Phone(207) 626-4110

Fax(207) 622-6078

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2004

Enumeration DateNovember 21, 2006

Last NPPES UpdateOctober 16, 2012

✔ NPI 1861567141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in ME · 2008

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2008 (ME)

Also ListedHospitalistTaxonomy 208M00000X · License 2008 (ME)

6 E CHESTNUT ST, Augusta, ME 04330

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Other Identifiers 4

Medicaid432720299ME

Medicare PIN000300003ME

Medicaid30226140NH

Medicare PIN000300001ME

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

Timothy J Borelli 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 ID5991892382

PECOS Enrollment IDI20071101000286

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

829 services127 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.

176 services76 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

81 services70 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

79 services71 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.

27 services22 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME

4/5 CMS rating

OwnershipProprietary

CMS Certification Number201314

Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

79.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.72

Promoting Interoperability

Improvement Activities

Cost

60.51

Other Providers at the Same Location NPPES 20

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

DR. CAROL ANNE SAUNDERS MD

Pathology (Anatomic Pathology & Clinical Pathology)

6 E CHESTNUT ST, DEPT OF PATHOLOGY
AUGUSTA, ME 04330

Kennebec County (207) 626-1409

PAUL PLUMER PA-C

Physician Assistant