Active NPI 1285682963 Individual Practitioner Male Practitioner

Dr. Brad M Borgwardt , MD

Ophthalmology • Clinton, IA

Professional Overview & Biography Verified Profile Summary

Dr. Brad Borgwardt, MD is a registered healthcare professional specializing in Ophthalmology in Clinton, IA. Practice services are available at 915 13TH AVE N under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 13th Ave N

Clinton, IA 527325067

Telephone 5632432511

Fax 5632430817

Associated Practice Facility / Clinic

🏢 Mercy Home Care & Hospice-Clinton Facility NPI 1407842552

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Clinton, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Clinton, IA (233 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	78	78	$127.00	$119.95
92012 Established patient problem focused exam of visual system	39	38	$93.00	$82.18
92083 Exam of visual field with extended testing	24	24	$204.00	$56.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	518	500	$127.00	$119.88
92012 Established patient problem focused exam of visual system	206	113	$93.00	$83.26
92083 Exam of visual field with extended testing	77	77	$204.00	$58.02
92133 Imaging of optic nerve	64	64	$131.00	$35.20
92004 New patient complete exam of visual system	60	60	$138.00	$137.80
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$145.29	$69.05
92134 Imaging of retina	22	22	$131.00	$38.01
92283 Extended color vision examination	22	22	$90.00	$48.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$198.25	$101.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	584	558	$127.00	$118.27
92012 Established patient problem focused exam of visual system	212	111	$93.00	$82.36
92004 New patient complete exam of visual system	105	105	$138.00	$134.29
92083 Exam of visual field with extended testing	86	86	$204.00	$58.37
92133 Imaging of optic nerve	68	68	$129.68	$35.15
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$132.42	$68.33
92134 Imaging of retina	23	23	$131.00	$37.97
92283 Extended color vision examination	20	20	$90.00	$50.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$188.00	$101.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$191.00	$100.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	775	710	$127.00	$115.05
92012 Established patient problem focused exam of visual system	303	157	$93.00	$79.59
92004 New patient complete exam of visual system	151	151	$138.00	$134.90
92133 Imaging of optic nerve	96	94	$130.10	$34.85
92083 Exam of visual field with extended testing	95	93	$203.19	$57.99
76519 Ultrasound of eye for determination of lens power	62	54	$295.16	$65.74
66984 Removal of cataract with insertion of lens	59	50	$2609.00	$571.85
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$130.00	$67.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	47	$260.00	$132.88
36415 Insertion of needle into vein for collection of blood sample	33	30	$16.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$188.00	$97.94
84132 Blood potassium level	30	27	$35.00	$4.80
92134 Imaging of retina	28	27	$131.00	$37.64
92283 Extended color vision examination	22	22	$98.86	$50.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$50.00	$7.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$191.00	$95.63
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$990.00	$305.21

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IA 24094

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0217380 (IA)

Commercial Insurance / Payer ID Midlands Choice

18975

Commercial Insurance / Payer ID Health Alliance

018390

Commercial Insurance / Payer ID Iowa Health Solutions

27209

Commercial Insurance / Payer ID Wellmark Bc/bs

20306

Commercial Insurance / Payer ID John Deere Health

E14405

Commercial Insurance / Payer ID Illinois - Bc/bs

09822166 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Billie Tack , ARNP

Nurse Practitioner - Women's Health

NPI 1003866674

Advanced Registered Nurse Practitioner

Dr. Suheil Barakat , MD

Internal Medicine

NPI 1013975259

Doctor of Medicine (M.D.)

Dr. William Ingram , MD

Family Medicine

NPI 1013996636

Doctor of Medicine (M.D.)

Ashlee Sheridan

Nurse Practitioner - Family

NPI 1083323638

Holly Romer , RD, LD, CDE

Dietitian, Registered

NPI 1104234681

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Dr. Donald Flory , MD

Family Medicine

NPI 1124078266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

📍

Updated Business Mailing Address March 15, 2013

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

👤

Provider Name / Credentials Updated March 15, 2013

Recorded as BRAD BORGWARDT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2013

Ophthalmology (License #24094 in IA)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285682963

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 04, 2006

Last Update: March 15, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

915 13th Ave N

Clinton, IA 527325067

Phone: 5632432511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.