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CAROLINE CLARK BORGAN M.D.
NPI 1891149951
Emergency Medicine in Houston, TX

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
1635 NORTH LOOP W, HOUSTON, TX 77008(713) 867-2000 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Caroline Clark Borgan M.d. NPPES

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

CAROLINE CLARK BORGAN M.D. (NPI 1891149951) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (S0637) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1891149951
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROLINE CLARK BORGANCredential: M.D.
Location Address1635 NORTH LOOP WHouston, TX 77008-1532
Mailing Address1635 North Loop WHouston, TX 77008-1532 · (713) 867-2000
Phone(713) 867-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 14, 2016
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1891149951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · S0637
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1635 NORTH LOOP W, Houston, TX 77008
Open in Google Maps ↗

Secondary Practice Location 1

Location 16431 Fannin St, Suite JJL 431Houston, TX 77030-1501 · Phone (713) 500-7878

Other Identifiers 1

Medicaid00000TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Clark Borgan 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 ID2264768894
PECOS Enrollment IDI20190719001408
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 Reassignments

2

Medicare enrollment records show Caroline Borgan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hermann Hospital Based Physician Group
7.2 mi
Emergency Medicine
929 GESSNER RD STE 2700
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 408 clinicians in this Medicare group
NPI 1295363497 (713) 242-2712
Acs Primary Care Physicians Southwest, PA
284 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600

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 3

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.

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.
120 services118 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
79 services74 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.
38 services37 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

HYUNG J KIM MD
Anesthesiology
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 540-6980
THANG HLEI KIM
Nurse Practitioner (Acute Care)
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 867-2000
DAYNA EVELYN MCDANIEL CRNA
Nurse Anesthetist, Certified Registered
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 867-2000
STACEY WUNGSEE LAU OTR
Occupational Therapist
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 803-6778
LOUIS T PENA CRNA
Nurse Anesthetist, Certified Registered
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 400-2990
MEMORIAL HERMANN HEALTH SYSTEM
Clinic/Center (Radiology)
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 867-3336
TATSUO YAMAKAWA M.D.
Emergency Medicine
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 338-6565
MAHREEN UMATIYA FNP-C
Nurse Practitioner
1635 NORTH LOOP W
HOUSTON, TX 77008
Harris County (904) 372-3943

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 Caroline Borgan's NPI number?

The NPI number for Caroline Borgan is 1891149951. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Caroline Borgan located?

Caroline Borgan practices at 1635 North Loop W, Houston, TX 77008. The listed phone number is (713) 867-2000.

What is Caroline Borgan's specialty?

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

Is Caroline Borgan enrolled in Medicare?

Yes. Caroline Borgan 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.

Which organizations bill Medicare for Caroline Borgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Borgan reassigns Medicare benefits to 2 organizations: Memorial Hermann Hospital Based Physician Group (Houston, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each 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 Caroline Borgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Borgan accept?

Health plans from Oscar Insurance Company list Caroline Borgan 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 Caroline Borgan affiliated with any hospitals?

According to CMS data, Caroline Borgan is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Caroline Borgan was last updated on September 13, 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.