BRIAN BORN MD
NPI 1912420803
Hospitalist in Fargo, ND

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2021, Sep 18, 2020, May 15, 2018 and 1 more (4 updates tracked since 2017).

About Brian Born Md NPPES

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

BRIAN BORN MD (NPI 1912420803) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (16379) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912420803
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBRIAN BORNCredential: MD
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2017
Last NPPES UpdateApril 16, 20214 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1912420803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ND · 16379
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License RL14604 (ND)
5225 23RD AVE S, Fargo, ND 58104

Accepted 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

Brian Born Md 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 ID1759700701
PECOS Enrollment IDI20200924003014
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 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.
339 services130 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.
135 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services98 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.
64 services64 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$81.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$32.50 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.

Speech-Language Pathologist
5225 23RD AVE S
FARGO, ND 58104
Occupational Therapist
5225 23RD AVE S
FARGO, ND 58104
Advanced Practice Midwife
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Advanced Practice Midwife
5225 23RD AVE S
FARGO, ND 58104
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104

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 Brian Born's NPI number?

The NPI number for Brian Born is 1912420803. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Brian Born located?

Brian Born practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is Brian Born's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brian Born enrolled in Medicare?

Yes. Brian Born 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 Brian Born accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Brian Born 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 Brian Born affiliated with any hospitals?

According to CMS data, Brian Born is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Brian Born was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.