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RICHARD JOSEPH BORGATTI JR. MD
NPI 1871589952
Orthopaedic Surgery in Toms River, NJ

Active since September 23, 2005PECOS Enrolled
66.38/100
CMS Quality Rating
1430 HOOPER AVE, SUITE 202, TOMS RIVER, NJ 08753(732) 244-4544(732) 244-4545 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Joseph Borgatti Jr. Md NPPES

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

RICHARD JOSEPH BORGATTI JR. MD (NPI 1871589952) is an individual orthopaedic surgery provider in Toms River, New Jersey, licensed in New Jersey (MAO52680) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871589952
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRICHARD JOSEPH BORGATTI JR.Credential: MD
Location Address1430 HOOPER AVE, SUITE 202Toms River, NJ 08753-2895
Mailing Address1430 Hooper Ave, Suite 202Toms River, NJ 08753-2895 · (732) 244-4544 · Fax (732) 244-4545
Phone(732) 244-4544
Fax(732) 244-4545
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1871589952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · MAO52680
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1430 HOOPER AVE, Toms River, NJ 08753
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Joseph Borgatti Jr. Md 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 Richard Borgatti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seaview Orthopaedics & Medical Associates LLP
19 mi
Orthopaedic Surgery
1200 EAGLE AVENUE
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 101 clinicians in this Medicare group
NPI 1982618757 (732) 660-6200

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

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
156 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
101 services81 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
83 services69 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
78 services61 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.
72 services60 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
51 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

66.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.51
Promoting Interoperability92
Improvement Activities40
Cost52.09

Other Providers at the Same Location NPPES 17

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

ATLANTIC COAST ENDOSCOPIC SPINE CENTER
Neurological Surgery
1430 HOOPER AVE, SUITE 205
TOMS RIVER, NJ 08753
Ocean County (908) 600-5803
NEMIROFF CHIROPRACTIC ADVANTAGE CENTERS PC
Chiropractor
1430 HOOPER AVE, 203
TOMS RIVER, NJ 08753
Ocean County (723) 244-5340
BASS CHIROPRACTIC AND WELLNESS CENTER
Chiropractor
1430 HOOPER AVE, SUITE 203
TOMS RIVER, NJ 08753
Ocean County (732) 473-9532
JULIE M. SMITH RN, APN.C
Nurse Practitioner (Adult Health)
1430 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 557-0700
ALLSHORE ORTHOPEDIC REHABILITATION, CORP.
Specialist
1430 HOOPER AVE, SUITE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000
EDWIN ROBERT HERNANDEZ DPT
Physical Therapist
1430 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 490-2798
WINIFRED A WELCH P.T.
Specialist
1430 HOOPER AVE, STE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000
GARY M COOKSON P.T.
Specialist
1430 HOOPER AVE, STE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000

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 Richard Borgatti's NPI number?

The NPI number for Richard Borgatti is 1871589952. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Richard Borgatti located?

Richard Borgatti practices at 1430 Hooper Ave Suite 202, Toms River, NJ 08753. The listed phone number is (732) 244-4544.

What is Richard Borgatti's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Borgatti enrolled in Medicare?

Yes. Richard Borgatti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Borgatti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Borgatti reassigns Medicare benefits to Seaview Orthopaedics & Medical Associates LLP (Ocean, NJ). 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 Richard Borgatti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Borgatti accept?

Health plans from Oscar Health list Richard Borgatti 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 Richard Borgatti was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.