DR. FRANK BORGIA MD
NPI 1992748461
Specialist in Natrona Heights, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1629 UNION AVE, NATRONA HEIGHTS, PA 15065(724) 224-4600(724) 224-2775 Get Directions Write a Review

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

About Dr. Frank Borgia Md NPPES

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

DR. FRANK BORGIA MD (NPI 1992748461) is an individual specialist in Natrona Heights, Pennsylvania, licensed in Pennsylvania (MD020593E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1973).

NPPES Registry Identity

NPI1992748461
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. FRANK BORGIACredential: MD
Location Address1629 UNION AVENatrona Heights, PA 15065-2134
Mailing Address1629 Union AveNatrona Heights, PA 15065-2134 · (724) 224-4600 · Fax (724) 224-2775
Fax(724) 224-2775
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1973
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1992748461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD020593E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1629 UNION AVE, Natrona Heights, PA 15065

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. Frank Borgia 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 ID1456316256
PECOS Enrollment IDI20050104000727
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 Reassignment

Medicare enrollment records show Frank Borgia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otolaryngology
600 MEDICAL ARTS BLDG STE 620
Kittanning, PA 16201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 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.

Hospital Affiliations CMS Care Compare

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

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Internal Medicine
1629 UNION AVE, SUITE 2
NATRONA HEIGHTS, PA 15065
Clinic/Center (Dental)
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Surgery
1629 UNION AVE, SUITE 4
NATRONA HEIGHTS, PA 15065
Internal Medicine
1629 UNION AVE, SUITE 2
NATRONA HEIGHTS, PA 15065
Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Optometrist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065

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 Frank Borgia's NPI number?

The NPI number for Frank Borgia is 1992748461. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Frank Borgia located?

Frank Borgia practices at 1629 Union Ave, Natrona Heights, PA 15065. The listed phone number is (724) 224-4600.

What is Frank Borgia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Frank Borgia enrolled in Medicare?

Yes. Frank Borgia 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 organization bills Medicare for Frank Borgia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frank Borgia reassigns Medicare benefits to Glade Run Medical Associates (Kittanning, PA). The 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 Frank Borgia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frank Borgia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Frank Borgia 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 Frank Borgia affiliated with any hospitals?

According to CMS data, Frank Borgia is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Frank Borgia was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.