GERALD SCOTT BORRELLI M.D.
NPI 1871599084
Internal Medicine - Nephrology in Knoxville, TN

Q: What is Gerald Borrelli's NPI number?

The NPI number for Gerald Borrelli is 1871599084. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Gerald Borrelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Borrelli was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 22, 2005PECOS EnrolledAccepts Medicare Assignment

14.29/100

CMS Quality Rating

2001 LAUREL AVE, STE 206, KNOXVILLE, TN 37916(865) 524-3131(865) 212-6323 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gerald Scott Borrelli M.d. NPPES

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

GERALD SCOTT BORRELLI M.D. (NPI 1871599084) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (MD31245) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of Virginia Commonwealth University, School Of Medicine (1993).

NPPES Registry Identity

NPI1871599084

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameGERALD SCOTT BORRELLICredential: M.D.

Location Address2001 LAUREL AVE, STE 206Knoxville, TN 37916-1865

Mailing Address2001 Laurel Ave, Ste 206Knoxville, TN 37916-1865 · (865) 524-3131 · Fax (865) 212-6323

Phone(865) 524-3131

Fax(865) 212-6323

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1993

Enumeration DateJune 22, 2005

Last NPPES UpdateJuly 14, 2010

✔ NPI 1871599084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TN · MD31245

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2001 LAUREL AVE, Knoxville, TN 37916

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Other Identifiers 7

Medicaid3843024TN

Other3158711TN · Blue Cross

Other390007330TN · Railroad Medicare

Medicare ID-Type Unspecified3843025TN

Other4405986TN · Aetna Us Healthcare

Other602002329TN · Cariten Healthcare

Medicare UPING39863

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Gerald Scott Borrelli M.d. 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 ID1557329703

PECOS Enrollment IDI20101027000769

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 11

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.

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.

258 services122 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.

245 services121 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

209 services41 patients

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.

188 services78 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

104 services39 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

102 services38 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.

33 services24 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.

30 services25 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

23 services23 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services14 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440030

Location908 W 4th North StMorristown, TN 37814 · Hamblen County

Emergency services Birthing friendly

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN

OwnershipGovernment - Local

CMS Certification Number440057

Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County

Emergency services

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440081

Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

14.29/100

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

Individually scored

Quality

Improvement Activities

Cost

47.63

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.

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims660 services$0.17 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier11 claims12 services$9.48 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 20

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

SCOTT A WEGRYN MD

Radiology (Vascular & Interventional Radiology)

2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916

Knox County (865) 546-9484

SAMUEL H FEASTER MD

Radiology (Neuroradiology)

2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916

Knox County (865) 546-9484

DR. SUNG YONG BAE M.D.

Internal Medicine

2001 LAUREL AVE, SUITE 206
KNOXVILLE, TN 37916

Knox County (865) 524-3131

DR. VIJAY R. PATIL M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2001 LAUREL AVE, SUITE 201
KNOXVILLE, TN 37916

Knox County (865) 522-3355

DR. WILLIAM L. JOHNSON MD

Orthopaedic Surgery

2001 LAUREL AVE, SUITE 402 NEWLAND PROFESSIONAL BLDG.
KNOXVILLE, TN 37916

Knox County (865) 632-5577

EAST TENNESSEE NEPHROLOGY PC

Internal Medicine (Nephrology)

2001 LAUREL AVE, STE 206
KNOXVILLE, TN 37916

Knox County (865) 524-3131

HEJUNG KIM MD

Radiology (Nuclear Radiology)

2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916

Knox County (865) 766-6870

MAUREEN THERESA CADMUS MSN APN RN

Nurse Practitioner

2001 LAUREL AVE, STE 204
KNOXVILLE, TN 37916

Knox County (865) 673-0288

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 Gerald Borrelli's NPI number?

The NPI number for Gerald Borrelli is 1871599084. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Gerald Borrelli located?

Gerald Borrelli practices at 2001 Laurel Ave Ste 206, Knoxville, TN 37916. The listed phone number is (865) 524-3131.

What is Gerald Borrelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gerald Borrelli enrolled in Medicare?

Yes. Gerald Borrelli 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 Gerald Borrelli accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Gerald Borrelli 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 Gerald Borrelli affiliated with any hospitals?

According to CMS data, Gerald Borrelli is affiliated with Morristown Hamblen Hospital Association, Claiborne Medical Center, Leconte Medical Center and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Borrelli was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.