Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962517870 Individual Practitioner Male Practitioner

Dr. Shane Alex Boroditsky , DC

Chiropractor • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Boroditsky, DC is a certified Chiropractor practicing in Maple Grove, MN. With approximately 26 years of clinical experience since graduating from National College Of Chiropractic in 2000, Dr. Boroditsky delivers high-quality medical care to the local community at 12000 ELM CREEK BLVD N.

Dr. Boroditsky accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N
Suite L70

Maple Grove, MN 553697073

Telephone 6122813575
Fax 6126058257
Associated Practice Facility / Clinic
🏢 Maple Grove Urgent Care Facility NPI 1609834944

Medicare Profile & Education

Medical School

National College Of Chiropractic

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +11.2 yrs vs City Avg
City Avg: 14.8 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Maple Grove, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boroditsky (26 Years) 26 Yrs
Maple Grove Specialty Average (14.8 Years) 14.8 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
72 11 $70.00 $38.84

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 3976

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Health Partners
110238 (MN)
Commercial Insurance / Payer ID Blue Cross / Blue Shield
329G7BO (MN)
Commercial Insurance / Payer ID Medica
44-50913 (MN)

Practice Associates & Co-Workers

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

28 Associated Practitioners
NPI 1013135995

Certified Massage Therapist

NPI 1023084811

Doctor of Medicine (M.D.)

NPI 1093780934

Doctor of Medicine (M.D.)

Gay Lentfer , PA

Physician Assistant

NPI 1104891100

Physician Assistant

Michael Gallagher , FNP

Nurse Practitioner - Occupational Health

NPI 1154489052

Family Nurse Practitioner

Dr. Jordan Holtzman , MD

Internal Medicine

NPI 1235187907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12000 ELM CREEK BLVD N, SUITE L70, MAPLE GROVE, MN 553697073 (Tel: 6122813575)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 582774, MINNEAPOLIS, MN 554582774 (Tel: 6122813575)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANE BORODITSKY, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #3976 in MN)

🟢
Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shane Boroditsky. Be the first to share your experience!

Sign in to leave a review for Dr. Shane Boroditsky

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1962517870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 582774

Minneapolis, MN 554582774

Phone: 6122813575

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.