Active NPI 1396795761 Individual Practitioner Male Practitioner

Dr. Michael W Border , MD

Ophthalmology • Charlton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Border, MD is a registered healthcare professional specializing in Ophthalmology in Charlton, MA. Practice services are available at 20 SOUTHBRIDGE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20 Southbridge Rd

Charlton, MA 015075235

Telephone 5087659068

Fax 5087650249

Associated Practice Facility / Clinic

🏢 Richard L. Irwin, M.d., P.a. Facility NPI 1285754481

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Charlton, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Charlton, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	26	26	$323.00	$134.93
92004 New patient complete exam of visual system	21	21	$388.00	$160.40
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$217.00	$96.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	250	250	$323.00	$134.23
99213 Established patient office or other outpatient visit, typically 15 minutes	133	103	$207.74	$79.93
92004 New patient complete exam of visual system	64	64	$388.00	$160.81
92133 Imaging of optic nerve	52	51	$115.00	$39.70
92083 Exam of visual field with extended testing	44	44	$170.00	$68.10
92134 Imaging of retina	28	28	$118.00	$43.61
92012 Established patient problem focused exam of visual system	26	26	$223.00	$95.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$121.87	$48.58
92002 New patient problem focused exam of visual system	12	12	$213.00	$90.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	412	404	$323.00	$133.55
99213 Established patient office or other outpatient visit, typically 15 minutes	182	129	$189.00	$78.12
92004 New patient complete exam of visual system	145	145	$388.00	$158.79
92133 Imaging of optic nerve	95	93	$115.00	$39.18
92083 Exam of visual field with extended testing	74	70	$170.00	$68.46
92134 Imaging of retina	58	58	$118.00	$42.77
92136 Measurement of corneal curvature and depth of eye	48	27	$131.15	$42.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$278.00	$114.35
92012 Established patient problem focused exam of visual system	29	29	$223.00	$93.77
66984 Removal of cataract with insertion of lens	28	21	$1666.00	$680.27
92002 New patient problem focused exam of visual system	14	14	$213.00	$89.19
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$193.00	$80.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	416	405	$323.00	$131.49
99213 Established patient office or other outpatient visit, typically 15 minutes	207	158	$189.00	$76.49
92004 New patient complete exam of visual system	152	152	$388.00	$158.78
92133 Imaging of optic nerve	118	116	$114.03	$39.07
92083 Exam of visual field with extended testing	88	86	$168.07	$66.54
92134 Imaging of retina	62	60	$118.00	$42.91
66984 Removal of cataract with insertion of lens	44	30	$1666.00	$674.82
92136 Measurement of corneal curvature and depth of eye	37	25	$183.49	$65.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$278.00	$113.28
92012 Established patient problem focused exam of visual system	25	24	$223.00	$92.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	467	452	$323.14	$128.73
99213 Established patient office or other outpatient visit, typically 15 minutes	240	173	$189.00	$75.18
92004 New patient complete exam of visual system	145	145	$387.46	$155.23
92133 Imaging of optic nerve	139	133	$115.00	$38.61
92083 Exam of visual field with extended testing	91	90	$168.13	$66.42
92134 Imaging of retina	71	69	$118.00	$42.81
66984 Removal of cataract with insertion of lens	51	36	$1666.00	$664.41
92136 Measurement of corneal curvature and depth of eye	39	28	$180.21	$71.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$278.00	$109.22
92012 Established patient problem focused exam of visual system	30	30	$223.00	$89.10
76514 Ultrasound scan of cornea to determine thickness	11	11	$39.00	$13.31

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 54489

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

3099237 (MA)

Commercial Insurance / Payer ID Blue Shield

J13674 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Arash Maleki , MD

Ophthalmology

NPI 1861150740

Doctor of Medicine (M.D.)

Dr. Sara Mahony , MD, PharmD

Ophthalmology

NPI 1902006539

Doctor of Medicine (M.D.), Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2013

Registered at 20 SOUTHBRIDGE RD, CHARLTON, MA 015075235 (Tel: 5087659068)

📍

Updated Business Mailing Address January 14, 2013

Registered at 20 SOUTHBRIDGE RD, CHARLTON, MA 015075235 (Tel: 5087659068)

👤

Provider Name / Credentials Updated January 14, 2013

Recorded as MICHAEL BORDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2013

Ophthalmology (License #54489 in MA)

🟢

Initial NPI Registration & Enumeration May 10, 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: 1396795761

Entity Type:

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

Enumeration Date: May 10, 2006

Last Update: January 14, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20 Southbridge Rd

Charlton, MA 015075235

Phone: 5087659068

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.