Active NPI 1720449150 Individual Practitioner Male Practitioner

Daniel John Borgia , NP

Nurse Practitioner • Schenectady, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Borgia, NP is a certified Nurse Practitioner practicing in Schenectady, NY. With approximately 11 years of clinical experience since completing medical education in 2015, Daniel Borgia delivers high-quality medical care to the local community at 1270 BELMONT AVE.

Daniel Borgia is affiliated with St. Mary'S Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, hospital discharge day management, 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

1270 Belmont Ave

Schenectady, NY 123082104

Telephone 5183824560

Fax 5183863619

Associated Practice Facility / Clinic

🏢 Care Health Associates Llc Facility NPI 1336184902

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Schenectady, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -0.1 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

15 Specialists

Practicing in Schenectady, NY (3155 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borgia (11 Years) 11 Yrs

Schenectady 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	163	100	$99.01	$36.62
99238 Hospital discharge day management, 30 minutes or less	39	38	$177.54	$60.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$244.50	$72.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	238	162	$89.00	$40.45
99238 Hospital discharge day management, 30 minutes or less	30	29	$164.00	$65.88
99239 Hospital discharge day management, more than 30 minutes	19	19	$241.00	$93.38
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$136.00	$73.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	49	$77.73	$32.32
99239 Hospital discharge day management, more than 30 minutes	26	26	$214.23	$87.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	212	149	$77.00	$32.02
99441 Telephone medical discussion with physician, 5-10 minutes	21	21	$92.00	$47.02
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$136.00	$76.78
99238 Hospital discharge day management, 30 minutes or less	12	12	$143.00	$60.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	46	$77.00	$32.69
99442 Telephone medical discussion with physician, 11-20 minutes	24	24	$124.64	$62.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	219	174	$77.00	$32.54

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	213	152	$128.00	$68.47
99213 Established patient office or other outpatient visit, typically 15 minutes	178	128	$83.00	$44.35
20553 Injection of trigger points, 3 or more muscles	65	44	$142.00	$37.02
20552 Injections of trigger points in 1 or 2 muscles	27	25	$127.00	$32.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$185.00	$96.67

Medical Specialties & State Licenses

CMS Verified: 2021-12-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 307603

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MA RN282295

Hospital & Practice Group Affiliations

St. Mary's Healthcare

427 Guy Park Ave, Amsterdam, NY 120101064

Phone: 5187707577

Secondary Practice Locations

777 North St, Suite 503

Pittsfield, MA 012014147

Phone: 4134477087

11260 Rt 9w

Coxsackie, NY 120513006

Phone: 5187312781

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Michael Downing , DO

Physical Medicine & Rehabilitation

NPI 1023768363

Doctor of Osteopathic Medicine (D.O.)

Dr. Radana Dooley , MD

Physical Medicine & Rehabilitation

NPI 1063457349

Doctor of Medicine (M.D.)

Dr. Samuel Doyle , MD

Physical Medicine & Rehabilitation

NPI 1174100333

Doctor of Medicine (M.D.)

Elizabeth Duquette , FNP

Nurse Practitioner

NPI 1235639055

Family Nurse Practitioner

Dr. Matthew Sonagere , DO

Physical Medicine & Rehabilitation

NPI 1295174548

Doctor of Osteopathic Medicine (D.O.)

Dr. Michelle Antiles , DO

Physical Medicine & Rehabilitation

NPI 1306811237

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address June 30, 2021

Registered at PO BOX 14890, ALBANY, NY 122124890 (Tel: 5185255634)

👤

Provider Name / Credentials Updated June 30, 2021

Recorded as DANIEL BORGIA, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Nurse Practitioner (License #RN282295 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Nurse Practitioner (License #307603 in NY)

📍

Updated Practice Location January 15, 2019

Registered at 1270 BELMONT AVE, SCHENECTADY, NY 123082104 (Tel: 5183824560)

📍

Updated Business Mailing Address January 15, 2019

Registered at PO BOX 200, COXSACKIE, NY 120510200 (Tel: 5187312781)

👤

Provider Name / Credentials Updated January 15, 2019

Recorded as DANIEL BORGIA-FORSTER, NP

✅

NPI Profile Active March 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2016

Registered at 777 NORTH ST, SUITE 503, PITTSFIELD, MA 012014147 (Tel: 4134477087)

📍

Updated Business Mailing Address March 12, 2016

Registered at 777 NORTH ST, PITTSFIELD, MA 012014147 (Tel: 4134472000)

👤

Provider Name / Credentials Updated March 12, 2016

Recorded as DANIEL BORGIA-FORSTER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2016

Nurse Practitioner (License #RN282295 in MA)

🟢

Initial NPI Registration & Enumeration March 12, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720449150

Entity Type:

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

Enumeration Date: March 12, 2016

Last Update: December 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14890

Albany, NY 122124890

Phone: 5185255634

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.