Active NPI 1346609559 Individual Practitioner Female Practitioner

Theresa Rae Borcherding , ARNP

Nurse Practitioner • Waterloo, IA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Theresa Borcherding, ARNP is a certified Nurse Practitioner practicing in Waterloo, IA. With approximately 11 years of clinical experience since completing medical education in 2015, Theresa Borcherding delivers high-quality medical care to the local community at 1753 W RIDGEWAY AVE STE 104.

Theresa Borcherding is affiliated with Peoples Community Health Clinic, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1753 W Ridgeway Ave Ste 104

Waterloo, IA 507014588

Telephone 3198336100

Fax 3198336102

Associated Practice Facility / Clinic

🏢 Cedar Valley Medical Specialists Pc Facility NPI 1073567780

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waterloo, IA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

96 Specialists

Practicing in Waterloo, IA (1307 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borcherding (11 Years) 11 Yrs

Waterloo Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	316	$170.00	$71.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	124	$255.00	$99.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$360.00	$141.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	269	$166.71	$71.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	110	$248.92	$101.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	40	$353.52	$141.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	240	$158.00	$72.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	94	$240.00	$102.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$343.00	$140.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	198	$158.00	$73.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	88	$240.00	$104.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$343.00	$145.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	71	$205.41	$71.81
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$146.25	$53.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$352.07	$91.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	51	$184.14	$63.87
99213 Established patient office or other outpatient visit, typically 15 minutes	44	27	$117.99	$41.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$339.44	$93.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	47	$172.87	$63.62
99213 Established patient office or other outpatient visit, typically 15 minutes	57	27	$110.07	$41.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$324.50	$92.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	48	$167.38	$63.36
99213 Established patient office or other outpatient visit, typically 15 minutes	73	41	$105.92	$41.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$243.32	$89.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$314.00	$91.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$472.00	$135.64

Medical Specialties & State Licenses

CMS Verified: 2022-02-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A098415

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A098415

Definition to come...

Hospital & Practice Group Affiliations

Peoples Community Health Clinic, Inc.

905 Franklin St, Waterloo, IA 507034407

Phone: 3198743000

Secondary Practice Locations

501 Main St

Reinbeck, IA 506691023

Phone: 3193456461

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Douglas Duven , MD

Surgery

NPI 1861445223

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 06, 2020

Registered at 1753 W RIDGEWAY AVE STE 104, WATERLOO, IA 507014588 (Tel: 3198336100)

📍

Updated Business Mailing Address July 06, 2020

Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3192355390)

✅

NPI Profile Active February 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2016

Registered at 501 MAIN ST, REINBECK, IA 506691023 (Tel: 3193456461)

📍

Updated Business Mailing Address February 16, 2016

Registered at 2101 KIMBALL AVE, P.O. BOX 6200, WATERLOO, IA 507025063 (Tel: 3192721590)

👤

Provider Name / Credentials Updated February 16, 2016

Recorded as THERESA BORCHERDING, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2016

Nurse Practitioner (License #A098415 in IA)

🟢

Initial NPI Registration & Enumeration February 16, 2016

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: 1346609559

Entity Type:

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

Enumeration Date: February 16, 2016

Last Update: February 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2758

Waterloo, IA 507042758

Phone: 3192355390

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.