Marcos Borthelle, MD
NPI 1255938403 · Student in an Organized Health Care Education/Training Program · Bronx, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcos Borthelle, MD is a Student in an Organized Health Care Education/Training Program provider in Bronx, NY (NPI 1255938403).
Provider details
- NPI number
- 1255938403
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
40 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 40 | $88 |
Typical Medicare-allowed amounts for these services range $88–$88 (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 · 3 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Duloxetine Hcl | 20 |
| Oxycodone Hcl | 13 |
| Gabapentin | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
- Certified
- 2020-09-26
Frequently asked questions
- What is Marcos Borthelle's NPI number?
- Marcos Borthelle's National Provider Identifier (NPI) is 1255938403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcos Borthelle's specialty?
- Marcos Borthelle is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Marcos Borthelle located?
- Marcos Borthelle's practice location on file with NPPES is 234 E 149th St, Bronx, NY 10451-5504.
- What is Marcos Borthelle's phone number?
- The practice phone number listed in the NPPES registry for Marcos Borthelle is (718) 579-5000.
- Does Marcos Borthelle accept Medicare?
- Marcos Borthelle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcos Borthelle's NPI active?
- Yes — Marcos Borthelle's NPI (1255938403) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.