Karla Nieves Borrero, M.D.
NPI 1720305766 · Gastroenterology Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karla Nieves Borrero, M.D. is a Gastroenterology Physician provider in Raleigh, NC (NPI 1720305766).
Provider details
- NPI number
- 1720305766
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME138330 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
392 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 95 | $233 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 72 | $77 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 49 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 49 | $119 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $152 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetron Hcl | 130 | 124 |
| Pantoprazole Sodium | 98 | 32 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 69 | 68 |
| Famotidine | 59 | 21 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 43 | 43 |
| Omeprazole | 41 | 20 |
| Metoclopramide Hcl | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,230 across 59 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-04-30
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Frequently asked questions
- What is Karla Nieves Borrero's NPI number?
- Karla Nieves Borrero's National Provider Identifier (NPI) is 1720305766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karla Nieves Borrero's specialty?
- Karla Nieves Borrero is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Karla Nieves Borrero located?
- Karla Nieves Borrero's practice location on file with NPPES is 3521 Haworth Dr Fl 2, Raleigh, NC 27609-7244.
- What is Karla Nieves Borrero's phone number?
- The practice phone number listed in the NPPES registry for Karla Nieves Borrero is (919) 782-1806.
- Does Karla Nieves Borrero accept Medicare?
- Karla Nieves Borrero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karla Nieves Borrero's NPI active?
- Yes — Karla Nieves Borrero's NPI (1720305766) is active in the NPPES registry as of the last update on 2024-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.