MATTHEW BORKON MD
NPI 1972650778
Surgery - Vascular Surgery in Winchester, VA

Q: What is Matthew Borkon's NPI number?

The NPI number for Matthew Borkon is 1972650778. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Matthew Borkon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Borkon was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 04, 2007PECOS EnrolledAccepts Medicare Assignment

1880 AMHERST ST STE 300, WINCHESTER, VA 22601(540) 536-6721(540) 536-6724 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2021, Mar 5, 2021, Feb 14, 2020 and 2 more (5 updates tracked since 2017).

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About Matthew Borkon Md NPPES

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

MATTHEW BORKON MD (NPI 1972650778) is an individual vascular surgery provider in Winchester, Virginia, licensed in Virginia (0101260275) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1972650778

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMATTHEW BORKONCredential: MD

Location Address1880 AMHERST ST STE 300Winchester, VA 22601-2808

Mailing Address1880 Amherst Street, Suite 300Winchester, VA 22601-2873 · (540) 536-6721 · Fax (540) 536-6724

Phone(540) 536-6721

Fax(540) 536-6724

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2005

Enumeration DateJanuary 4, 2007

Last NPPES UpdateMarch 25, 20225 updates tracked since enumeration

NPPES CertifiedMarch 16, 2022

✔ NPI 1972650778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in VA · 0101260275✔ Licensed in TN · 43806

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 27458 (WV)

1880 AMHERST ST STE 300, Winchester, VA 22601

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Secondary Practice Locations 4

Location 1120 Campus Drive, Suite 221Martinsburg, WV 25404 · Phone (681) 247-1280 · Fax (681) 247-1281

Location 297 Administrative Dr Ste 200AMartinsburg, WV 25404-6378 · Phone (304) 350-3230 · Fax (304) 350-3244

Location 31870 Amherst St, Suite 2BWinchester, VA 22601-2873 · Phone (540) 536-6721 · Fax (540) 536-6724

Location 41008 Tavern Rd Ste 301Martinsburg, WV 25401-2801 · Phone (681) 247-1070 · Fax (681) 247-1071

Other Identifiers 1

MedicaidQ001232TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Matthew Borkon 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 ID8426297524

PECOS Enrollment IDI20161121001726, I20190410000009

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

Medicare enrollment records show Matthew Borkon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Medical Center

Same address

Vascular Surgery

1880 AMHERST STREET, SUITE 300
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
756 clinicians in this Medicare group

NPI 1942098512 (540) 536-6721

Valley Physician Enterprise, Inc.

Same address

Cardiovascular Disease

1880 AMHERST STREET
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
386 clinicians in this Medicare group

NPI 1366944670 (540) 662-0306

East Mountain Health Physicians, Inc.

14 mi

Rural Health

4803 GERRARDSTOWN RD
Inwood, WV 25428

Reassigned Medicare billing, West Virginia enrollment
135 clinicians in this Medicare group

NPI 1033681150 (304) 821-9011

Shenandoah Memorial Hospital, Inc.

15 mi

Family Medicine

33699 OLD VALLEY PIKE STE D
Strasburg, VA 22657

Reassigned Medicare billing, Virginia enrollment
Also billed through NPI 1033166442 (Virginia)
416 clinicians in this Medicare group

NPI 1710494331 (540) 459-1410

Warren Memorial Hospital, Inc.

16 mi

Rural Health

67 RIVERTON COMMONS DR
Front Royal, VA 22630

Reassigned Medicare billing, Virginia enrollment
367 clinicians in this Medicare group

NPI 1417447871 (540) 635-0848

Page Memorial Hospital, Inc.

18 mi

Rural Health

625 VIRGINIA AVE
Front Royal, VA 22630

Reassigned Medicare billing, Virginia enrollment
Also billed through NPI 1326040684 (Virginia)
364 clinicians in this Medicare group

NPI 1083236970 (540) 635-7991

War Memorial Hospital, Inc.

25 mi

Critical Access

1 HEALTHY WAY
Berkeley Springs, WV 25411

Reassigned Medicare billing, West Virginia enrollment
158 clinicians in this Medicare group

NPI 1467450353 (304) 258-1234

Hampshire Memorial Hospital, Inc.

29 mi

Critical Access

363 SUNRISE BLVD
Romney, WV 26757

Reassigned Medicare billing, West Virginia enrollment
26 clinicians in this Medicare group

NPI 1396897203 (304) 822-4561

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 34

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.

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.

224 services206 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

111 services107 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

99 services97 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.

93 services78 patients

Ultrasound of both sides of head and neck blood flow 93880

77 services76 patients

Ultrasound of leg arteries or artery grafts 93925

75 services72 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

74 services73 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

67 services67 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

48 services48 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

41 services37 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

39 services37 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

38 services37 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

35 services33 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

29 services29 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

26 services26 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.

25 services20 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

23 services23 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

19 services19 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

19 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

17 services17 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

16 services16 patients

Ultrasound study of arm and leg arteries 93922

16 services16 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

14 services11 patients

Ultrasound of one leg arteries or artery grafts 93926

14 services13 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

14 services14 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

14 services12 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

14 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.

14 services14 patients

Balloon dilation of artery of leg 37224

Balloon dilation of the leg artery is a procedure to improve blood flow. A tiny balloon is inserted into a narrowed artery, then inflated to widen the artery. This helps increase blood circulation to the leg. It's usually done under local anesthesia.

13 services12 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

12 services12 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.

12 services12 patients

Exposure of thigh artery for insertion of prosthesis 34812

This procedure involves revealing the artery in your thigh to place a synthetic device, a prosthesis. It's often performed to improve blood flow or replace a damaged section of the artery. The goal is to enhance your overall health.

11 services11 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch 36246

This procedure involves the placement of a tube into an artery in your abdomen, pelvis, or leg. The tube is inserted into a secondary branch of the main artery. This helps doctors access the artery to diagnose or treat certain conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 8

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

DR. MARK H KUMAR MD

Surgery (Vascular Surgery)