Jeffrey M. Borkan, M.D.
NPI 1154304996ActiveIndividual· Family Medicine· Pawtucket, RI
Family Medicine (M.D.) in Pawtucket, Rhode Island, trained at Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University (class of 1984). Their prescriptions cost Medicare Part D more than their services did: $30,576 for 788 claims, against $2,820 paid for services in 2024.
Overview
| NPI | 1154304996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD10711 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 41 across 9 procedure codes |
| Paid by Medicare | $2,820 |
Part D prescriptions in 2024
| Prescriptions (claims) | 788 · 1,490 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $30,576 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University |
|---|---|
| Graduation year | 1984 |
| Medicare specialty | Family Practice |
Medical groups
- Affinity Physicians LLC.Warwick, RI · 730 clinicians
- Thundermist Health CenterWoonsocket, RI · 160 clinicians
Hospital affiliations
- Kent County Memorial HospitalWarwick, RI
- The Miriam HospitalProvidence, RI
- Women & Infants Hospital of Rhode IslandProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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