Active NPI 1265862890 Individual Practitioner Male Practitioner

Kerwin Borntrager , PA-C

Physician Assistant • Baltimore, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kerwin Borntrager, PA-C is a certified Physician Assistant practicing in Baltimore, MD. With approximately 14 years of clinical experience since completing medical education in 2012, Kerwin Borntrager delivers high-quality medical care to the local community at 1313 FOREST HILL AVE.

Kerwin Borntrager is affiliated with St Agnes Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, nursing facility discharge management, more than, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

1313 Forest Hill Ave

Baltimore, MD 212301121

Telephone 4437174334

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

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borntrager (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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,808	245	$163.04	$94.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	108	46	$218.50	$94.89
99316 Nursing facility discharge management, more than 30 minutes	81	77	$193.57	$112.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	33	$111.00	$65.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	16	$154.00	$65.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	23	18	$199.91	$134.81
99283 Emergency department visit with low level of medical decision making	12	12	$218.00	$62.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	249	48	$96.00	$94.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	18	$68.00	$66.10
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$260.00	$74.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$260.00	$91.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$201.14	$64.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$201.19	$65.44
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$260.00	$92.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	202	98	$131.00	$77.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	127	60	$131.00	$78.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	54	$100.00	$58.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	16	$100.00	$60.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$202.08	$67.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	836	221	$131.00	$78.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	514	182	$100.00	$58.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	459	205	$131.00	$78.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	130	65	$100.00	$58.65
99335 Established patient assisted living visit, typically 25 minutes	52	44	$135.62	$81.21
11719 Trimming of fingernails or toenails	45	36	$21.00	$12.40
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	36	22	$20.00	$10.57
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	34	31	$87.00	$51.43
99316 Nursing facility discharge management, more than 30 minutes	32	32	$151.00	$90.14
99497 Advance care planning, first 30 minutes	22	22	$128.00	$72.60
99497 Advance care planning, first 30 minutes	18	15	$128.00	$67.47
99336 Established patient assisted living visit, typically 40 minutes	15	15	$194.00	$115.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$191.00	$111.00
69210 Removal of impacted ear wax	11	11	$77.45	$39.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,373	171	$131.00	$77.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	679	171	$131.00	$76.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	654	131	$100.00	$58.56
99336 Established patient assisted living visit, typically 40 minutes	222	68	$194.00	$114.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	190	79	$100.00	$58.52
99335 Established patient assisted living visit, typically 25 minutes	136	50	$136.00	$80.09
99316 Nursing facility discharge management, more than 30 minutes	50	48	$151.00	$89.55
11042 Removal of skin and tissue, 20.0 sq cm or less	33	11	$176.00	$99.61
99497 Advance care planning, first 30 minutes	31	27	$128.00	$71.34
11719 Trimming of fingernails or toenails	28	24	$21.00	$11.35
69210 Removal of impacted ear wax	17	15	$74.00	$39.70
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	15	$64.00	$37.64
99316 Nursing facility discharge management, more than 30 minutes	13	13	$151.00	$89.67
99326 New patient assisted living visit, typically 45 minutes	11	11	$200.00	$117.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	668	233	$131.00	$76.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	519	209	$131.00	$76.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	385	165	$100.00	$57.90
99336 Established patient assisted living visit, typically 40 minutes	239	83	$194.03	$113.23
99335 Established patient assisted living visit, typically 25 minutes	149	66	$135.73	$79.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	140	81	$100.00	$57.90
99316 Nursing facility discharge management, more than 30 minutes	32	32	$151.00	$88.80
99497 Advance care planning, first 30 minutes	18	16	$128.00	$68.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0004929

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

St Agnes Healthcare Inc

900 Caton Ave, Baltimore, MD 212295201

Phone: 6672346000

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2013

Registered at 1313 FOREST HILL AVE, BALTIMORE, MD 212301121 (Tel: 4437174334)

📍

Updated Business Mailing Address November 18, 2013

Registered at 1313 FOREST HILL AVE, BALTIMORE, MD 212301121 (Tel: 4437174334)

👤

Provider Name / Credentials Updated November 18, 2013

Recorded as KERWIN BORNTRAGER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2013

Physician Assistant (License #C0004929 in MD)

🟢

Initial NPI Registration & Enumeration November 18, 2013

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: 1265862890

Entity Type:

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

Enumeration Date: November 18, 2013

Last Update: November 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1313 Forest Hill Ave

Baltimore, MD 212301121

Phone: 4437174334

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.