Active NPI 1740799451 Individual Practitioner Male Practitioner

Dr. Benjamin J Borton , DNP

Nurse Practitioner • Muskegon, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Borton, DNP is a certified Nurse Practitioner practicing in Muskegon, MI. With approximately 9 years of clinical experience since graduating from University Of Michigan Medical School in 2017, Dr. Borton delivers high-quality medical care to the local community at 1675 LEAHY ST STE 215A.

Dr. Borton maintains professional affiliations with Advantage Health/Saint Mary'S Medical Group, Mercy Health Partners - Physician Specialist 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1675 Leahy St Ste 215a

Muskegon, MI 494425500

Telephone 6166853098

Fax 6166853095

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Muskegon, MI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.6 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

31 Specialists

Practicing in Muskegon, MI (3626 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borton (9 Years) 9 Yrs

Muskegon Specialty Average (10.6 Years) 10.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	131	$192.49	$79.03
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	142	111	$35.00	$13.39
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	124	92	$85.00	$27.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$256.33	$116.84

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	203	107	$187.00	$80.72
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	148	81	$85.00	$27.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	28	$251.00	$117.04

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	180	97	$187.00	$80.61
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	117	71	$85.00	$29.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$251.00	$121.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$357.00	$153.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$187.00	$82.04
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	13	12	$85.00	$29.34

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	103	70	$162.49	$81.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	49	$185.68	$80.08
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	56	41	$78.25	$28.81
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	42	35	$84.67	$27.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	20	$219.00	$122.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$313.00	$154.42

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	146	95	$162.00	$65.54
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	69	38	$78.00	$29.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$162.00	$62.30
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	17	14	$78.00	$26.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$248.00	$109.50
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$143.00	$65.71

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	124	91	$162.00	$65.49
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	25	22	$78.00	$29.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$248.00	$107.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	101	$103.32	$50.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$152.71	$77.56
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$111.38	$56.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$154.92	$81.51

Medical Specialties & State Licenses

CMS Verified: 2024-02-08

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704289708

(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.

Hospital & Practice Group Affiliations

Mercy Health Partners - Physician Specialist

1500 E Sherman Blvd, Muskegon, MI 494441849

Phone: 2316723027

Advantage Health/saint Mary's Medical Group

300 Lafayette Ave Se, Grand Rapids, MI 495034692

Phone: 6166853098

Mercy Health Partners - Physician Specialist

1500 E Sherman Blvd, Muskegon, MI 494441849

Phone: 2316726815

Mercy Health Partners - Physician Specialist

1675 Leahy St, Muskegon, MI 494425500

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Robert Rood , MD

Internal Medicine

NPI 1033294731

Doctor of Medicine (M.D.)

Lauren Greifenberg

Physician Assistant

NPI 1093576555

Dr. Emilie Collins , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1104942085

Doctor of Medicine (M.D.)

Megan Fitzpatrick , ANP-BC MS

Nurse Practitioner - Adult Health

NPI 1154686608

ANPBCMS

Dr. Ashley Therasse , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1265665988

Doctor of Medicine (M.D.)

Dr. Courtney Soubliere , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1275748121

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 08, 2024

Registered at 1675 LEAHY ST STE 215A, MUSKEGON, MI 494425500 (Tel: 6166853098)

📍

Updated Business Mailing Address February 08, 2024

Registered at 1675 LEAHY ST STE 215A, MUSKEGON, MI 494425500 (Tel: 2316722120)

👤

Provider Name / Credentials Updated February 08, 2024

Recorded as BENJAMIN BORTON, D-NP

✅

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2017

Registered at 3535 PARK ST STE 110, NORTON SHORES, MI 494443736 (Tel: 2316723155)

📍

Updated Business Mailing Address September 26, 2017

Registered at PO BOX 1848, MUSKEGON, MI 494431848 (Tel: 2317275211)

👤

Provider Name / Credentials Updated September 26, 2017

Recorded as BENJAMIN BORTON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Nurse Practitioner (License #4704289708 in MI)

🟢

Initial NPI Registration & Enumeration September 26, 2017

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: 1740799451

Entity Type:

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

Enumeration Date: September 26, 2017

Last Update: February 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1675 Leahy St Ste 215a

Muskegon, MI 494425500

Phone: 2316722120

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.