Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL E BOREN MD
NPI 1962473041
Internal Medicine in Tucson, AZ

Active since January 27, 2006PECOS Enrolled
82.37/100
CMS Quality Rating
2001 W ORANGE GROVE RD, STE. 604, TUCSON, AZ 85704(520) 219-6100(520) 219-6119 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael E Boren Md NPPES

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

DR. MICHAEL E BOREN MD (NPI 1962473041) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (23498) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Tulane University School Of Medicine (1993).

NPPES Registry Identity

NPI1962473041
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL E BORENCredential: MD
Location Address2001 W ORANGE GROVE RD, STE. 604Tucson, AZ 85704-1139
Mailing Address2001 W Orange Grove Rd, Ste. 604Tucson, AZ 85704-1139 · (520) 219-6100 · Fax (520) 219-6119
Fax(520) 219-6119
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1993
Enumeration DateJanuary 27, 2006
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1962473041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 23498
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 W ORANGE GROVE RD, Tucson, AZ 85704

Secondary Practice Locations 2

Location 17201 E 31st PlYuma, AZ 85365-8394 · Phone (928) 336-5660 · Fax (928) 336-5672
Location 22400 S Avenue AYuma, AZ 85364-7127 · Phone (928) 344-2000

Accepted 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

Dr. Michael E Boren 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 ID5799756888
PECOS Enrollment IDI20040804000070
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 Michael Boren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group

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 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 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 services80 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.
84 services44 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.
67 services67 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services44 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%87 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers40 claims40 services$15.21 avg. paid by Medicare
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
3 suppliers54 claims54 services$73.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.77 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.

Internal Medicine
2001 W ORANGE GROVE RD, SUITE 308
TUCSON, AZ 85704
Physician Assistant
2001 W ORANGE GROVE RD
TUCSON, AZ 85704
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2001 W ORANGE GROVE RD, SUITE 508
TUCSON, AZ 85704
Dentist (General Practice)
2001 W ORANGE GROVE RD, SUITE 206
TUCSON, AZ 85704
Nurse Practitioner (Psychiatric/Mental Health)
2001 W ORANGE GROVE RD, 312
TUCSON, AZ 85704
Physical Therapist (Orthopedic)
2001 W ORANGE GROVE RD, SUITE 114
TUCSON, AZ 85704
Internal Medicine
2001 W ORANGE GROVE RD, STE. 604
TUCSON, AZ 85704
Clinic/Center (Mental Health (Including Community Mental Health Center))
2001 W ORANGE GROVE RD, STE 416
TUCSON, AZ 85704

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 Michael Boren's NPI number?

The NPI number for Michael Boren is 1962473041. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Michael Boren located?

Michael Boren practices at 2001 W Orange Grove Rd Ste. 604, Tucson, AZ 85704. The listed phone number is (520) 219-6100.

What is Michael Boren's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Boren enrolled in Medicare?

Yes. Michael Boren 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 Michael Boren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boren reassigns Medicare benefits to 2 organizations: Northwest Hbp Medical Services LLC (Tucson, AZ) and Yuma Regional Medical Center (Yuma, AZ). 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 Michael Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Boren accept?

Health plans from Cigna HealthCare of Arizona, Inc list Michael Boren 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 Michael Boren was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.