Jeffrey Borkan, M.D.
NPI 1154304996 · Family Medicine Physician · Pawtucket, RI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Borkan, M.D. is a Family Medicine Physician provider in Pawtucket, RI (NPI 1154304996).
Provider details
- NPI number
- 1154304996
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD10711 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
24 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $96 |
Typical Medicare-allowed amounts for these services range $96–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 54 | 15 |
| Lisinopril | 52 | 18 |
| Metformin Hcl | 48 | — |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 37 | — |
| Gabapentin | 31 | — |
| Paroxetine Hcl | 26 | — |
| Amitriptyline Hcl | 24 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-25
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Frequently asked questions
- What is Jeffrey Borkan's NPI number?
- Jeffrey Borkan's National Provider Identifier (NPI) is 1154304996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Borkan's specialty?
- Jeffrey Borkan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey Borkan located?
- Jeffrey Borkan's practice location on file with NPPES is 111 Brewster St, Pawtucket, RI 02860-4400.
- What is Jeffrey Borkan's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Borkan is (401) 729-2769.
- Does Jeffrey Borkan accept Medicare?
- Jeffrey Borkan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Borkan's NPI active?
- Yes — Jeffrey Borkan's NPI (1154304996) is active in the NPPES registry as of the last update on 2021-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.