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Active NPI 1194080374 Individual Practitioner Male Practitioner

Ivan Borissow , PA-C

Physician Assistant • Baltimore, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ivan Borissow, PA-C is a certified Physician Assistant practicing in Baltimore, MD. With approximately 14 years of clinical experience since completing medical education in 2012, Ivan Borissow delivers high-quality medical care to the local community at 5601 LOCH RAVEN BLVD.

Ivan Borissow is affiliated with Medstar Medical Group Ii Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5601 Loch Raven Blvd

Baltimore, MD 212392945

Telephone 4434448000
Associated Practice Facility / Clinic
🏢 Drs. Hahn And Padgett Facility NPI 1629070883

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Baltimore, MD

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +2.9 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
1142 Specialists

Practicing in Baltimore, MD (3255 Statewide)

Telehealth Adoption Rate
8.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borissow (14 Years) 14 Yrs
Baltimore Specialty Average (11.1 Years) 11.1 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
99291 Critical care, first 30-74 minutes
22 18 $637.32 $196.83

Medical Specialties & State Licenses

CMS Verified: 2020-05-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C04854

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Medstar Medical Group Ii Llc

5601 Loch Raven Blvd Russel, Baltimore, MD 212392945

Phone: 4434445600

Medstar Medical Group Ii Llc

1406 Crain S Hwy 106, Glen Burnie, MD 210614086

Phone: 4107686440

Medstar Medical Group Ii Llc

5601 Lloch Raven Blvd, Baltimore, MD 212392945

Phone: 4105811200

Secondary Practice Locations

4940 Eastern Ave Bldg 5w

Baltimore, MD 212242735

Phone: 4105500942

Practice Associates & Co-Workers

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

40 Associated Practitioners
Galina Mirzoyan , PA

Physician Assistant

NPI 1023700713

Physician Assistant

Amanda Comegys , PA

Physician Assistant

NPI 1033431416

Physician Assistant

Dr. Alvin Tsz Hin Ng , MD

Physical Medicine & Rehabilitation

NPI 1033679527

Doctor of Medicine (M.D.)

Margaret Spann , PA-C

Physician Assistant

NPI 1043101876

Physician Assistant (Certified)

Jacqueline Snyder

Physician Assistant - Surgical

NPI 1043683501
Simcha Gratz

Nurse Practitioner

NPI 1063058782

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 11, 2020

Registered at 5601 LOCH RAVEN BLVD, BALTIMORE, MD 212392945 (Tel: 4434448000)

📍
Updated Business Mailing Address May 11, 2020

Registered at 5601 LOCH RAVEN BLVD, BALTIMORE, MD 212392945 (Tel: 4434448000)

📍
Updated Business Mailing Address January 31, 2020

Registered at 25 CROSSROADS DR, STE 306, OWINGS MILLS, MD 211175437 (Tel: 4437382889)

📍
Updated Practice Location August 25, 2018

Registered at 4940 EASTERN AVE # A5W588, BALTIMORE, MD 21224 (Tel: 4105500942)

📍
Updated Business Mailing Address August 25, 2018

Registered at 9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 212364902 (Tel: 4109336423)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2018

Physician Assistant (License #C04854 in MD)

NPI Profile Active March 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2013

Registered at THE JOHNS HOPKINS HOSPITAL, 600 NORTH WOLFE ST., HALSTED 600, BALTIMORE, MD 212874656 (Tel: 4105022651)

📍
Updated Business Mailing Address March 18, 2013

Registered at THE JOHNS HOPKINS HOSPITAL, 600 NORTH WOLFE ST., HALSTED 600, BALTIMORE, MD 212874656 (Tel: 4105022651)

👤
Provider Name / Credentials Updated March 18, 2013

Recorded as IVAN BORISSOW, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2013

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 12, 2012

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: 1194080374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2012
Last Update: May 11, 2020
Sole Proprietor: No

Mailing Address

5601 Loch Raven Blvd

Baltimore, MD 212392945

Phone: 4434448000

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.