Active NPI 1881914653 Individual Practitioner Male Practitioner

Dr. Todd Borenstein , MD

Orthopaedic Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Borenstein, MD is a certified Orthopaedic Surgery practicing in Providence, RI. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Borenstein delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Borenstein maintains professional affiliations with Cora Health Services Inc, Huntington Orthopedic Surgical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, 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

2 Dudley St
Suite 200

Providence, RI 029053236

Telephone 4014443581

Fax 4014443609

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

62 Specialists

Practicing in Providence, RI (154 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Borenstein (16 Years) 16 Yrs

Providence Specialty Average (12.9 Years) 12.9 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
J1010 Injection, methylprednisolone acetate, 1 mg	3,171	46	$5.00	$0.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	324	58	$15.00	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	254	148	$185.00	$92.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	138	$275.00	$127.79
73630 X-ray of foot, minimum of 3 views	208	98	$70.00	$28.96
73610 X-ray of ankle, minimum of 3 views	137	71	$70.00	$29.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	79	31	$233.54	$93.86
73502 X-ray of hip, 2-3 views	68	37	$80.00	$34.94
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	62	55	$114.84	$52.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	59	$300.00	$126.00
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	53	33	$226.42	$80.45
73564 X-ray of knee, 4 or more views	51	34	$90.00	$42.39
J1030 Injection, methylprednisolone acetate, 40 mg	47	20	$35.00	$6.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$250.00	$112.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$350.00	$167.01
77071 Application of stress by physician for joint imaging	34	30	$141.18	$56.85
73030 X-ray of shoulder, minimum of 2 views	24	12	$75.00	$34.70
10140 Drainage of blood or fluid accumulation	22	22	$400.00	$59.33
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$1000.00	$148.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	184	$185.00	$98.43
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	205	51	$15.00	$6.50
73630 X-ray of foot, minimum of 3 views	161	84	$70.00	$31.32
J1030 Injection, methylprednisolone acetate, 40 mg	135	56	$35.00	$7.46
73610 X-ray of ankle, minimum of 3 views	104	63	$70.00	$32.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	98	36	$255.10	$99.17
73564 X-ray of knee, 4 or more views	84	57	$91.07	$48.49
73502 X-ray of hip, 2-3 views	76	43	$80.00	$28.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$250.00	$121.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	52	$276.15	$138.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	58	$300.00	$136.65
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	56	48	$120.00	$60.05
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	41	29	$226.22	$89.45
73552 X-ray of thigh bone, minimum 2 views	40	14	$75.00	$23.63
73110 X-ray of wrist, minimum of 3 views	39	16	$75.00	$39.63
10140 Drainage of blood or fluid accumulation	25	25	$432.00	$64.13
73030 X-ray of shoulder, minimum of 2 views	24	20	$75.00	$34.90
77071 Application of stress by physician for joint imaging	19	19	$143.16	$61.81
73503 X-ray of hip with pelvis, minimum of 4 views	16	11	$110.00	$41.45
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	15	11	$200.00	$79.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	152	$185.00	$99.89
73630 X-ray of foot, minimum of 3 views	138	82	$71.01	$33.42
73610 X-ray of ankle, minimum of 3 views	123	64	$70.57	$36.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	45	$275.00	$140.64
73564 X-ray of knee, 4 or more views	66	36	$90.00	$47.17
73502 X-ray of hip, 2-3 views	58	29	$80.00	$34.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$250.00	$123.17
J1030 Injection, methylprednisolone acetate, 40 mg	54	43	$35.74	$6.49
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	43	$15.28	$6.67
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	50	44	$120.00	$60.73
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	50	19	$257.00	$105.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$300.00	$142.78
73110 X-ray of wrist, minimum of 3 views	37	16	$75.00	$33.38
73030 X-ray of shoulder, minimum of 2 views	24	15	$75.00	$35.29
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	21	19	$183.33	$95.35
73552 X-ray of thigh bone, minimum 2 views	19	12	$75.00	$22.82
10140 Drainage of blood or fluid accumulation	15	15	$400.00	$64.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$350.00	$181.91
77071 Application of stress by physician for joint imaging	13	13	$120.00	$63.71
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	12	11	$200.00	$88.63

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	179	92	$248.66	$143.61
73630 X-ray of foot, minimum of 3 views	142	80	$70.00	$33.40
99213 Established patient office or other outpatient visit, typically 15 minutes	133	85	$183.76	$101.43
73610 X-ray of ankle, minimum of 3 views	98	55	$70.00	$35.28
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	67	55	$120.00	$60.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	54	$300.00	$145.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$339.42	$184.79
J1030 Injection, methylprednisolone acetate, 40 mg	48	37	$35.00	$5.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	48	37	$15.00	$7.14
73564 X-ray of knee, 4 or more views	43	25	$90.00	$46.89
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	39	19	$250.00	$100.37
73502 X-ray of hip, 2-3 views	37	18	$80.00	$33.82
73110 X-ray of wrist, minimum of 3 views	36	12	$75.00	$27.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$250.00	$121.47
73030 X-ray of shoulder, minimum of 2 views	25	13	$75.00	$36.34
20606 Aspiration and/or injection of fluid from medium joint using ultrasound guidance	19	14	$175.00	$94.99
77071 Application of stress by physician for joint imaging	15	14	$120.00	$62.91
10140 Drainage of blood or fluid accumulation	13	11	$400.00	$70.97
72170 X-ray of pelvis, 1-2 views	13	12	$60.00	$23.39

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	167	74	$160.00	$119.53
73630 X-ray of foot, minimum of 3 views	77	44	$70.00	$32.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$300.00	$148.75
97763 Management and/or training in use of orthotics (supports, braces, or splints) for arms, legs, and/or trunk, per 15 minutes	47	35	$120.00	$56.06
73610 X-ray of ankle, minimum of 3 views	44	22	$70.00	$37.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$240.00	$181.00
99213 Established patient office or other outpatient visit, typically 15 minutes	31	21	$131.77	$80.50
72170 X-ray of pelvis, 1-2 views	27	16	$60.00	$22.54
J1030 Injection, methylprednisolone acetate, 40 mg	23	17	$35.00	$6.05
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	21	16	$15.00	$6.99
73502 X-ray of hip, 2-3 views	18	11	$80.00	$21.27
27245 Treatment of broken neck of thigh bone with bone implant	12	11	$3200.00	$1325.63

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	29	20	$160.00	$120.32
73630 X-ray of foot, minimum of 3 views	20	17	$71.35	$34.24
73600 X-ray of ankle, 2 views	16	12	$60.00	$30.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$300.00	$146.97

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI 14919

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License RI LP02015

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1881914653 (RI)

Hospital & Practice Group Affiliations

Huntington Orthopedic Surgical Group

39 Congress St, Pasadena, CA 911053024

Phone: 6267950282

Cora Health Services Inc

1050 Old Camp Rd, The Villages, FL 321621762

Phone: 3526933378

Cora Health Services Inc

1050 Old Camp Rd, The Villages, FL 321621762

Phone: 3526933378

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Eric Cohen , MD

Orthopaedic Surgery

NPI 1245523463

Doctor of Medicine (M.D.)

Dr. Jack Anavian , MD

Orthopaedic Surgery

NPI 1427286608

Doctor of Medicine (M.D.)

Dr. Gregory Sawyer , MD

Orthopaedic Surgery

NPI 1912109034

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 September 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2015

Registered at 2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 029053236 (Tel: 4014443581)

📍

Updated Business Mailing Address September 16, 2015

Registered at PO BOX 1119, PROVIDENCE, RI 029011119 (Tel: 4014443581)

👤

Provider Name / Credentials Updated September 16, 2015

Recorded as TODD BORENSTEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2015

Orthopaedic Surgery (License #14919 in RI)

🟢

Initial NPI Registration & Enumeration June 03, 2010

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: 1881914653

Entity Type:

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

Enumeration Date: June 03, 2010

Last Update: September 16, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1119

Providence, RI 029011119

Phone: 4014443581

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.