Individual provider Active NPI

Matthew Borns, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Charlotte, NC
National Provider Identifier
1891046454
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
626 Issued in NC
Practice address
6831 Fairview Rd
Charlotte, NC 28210-3386
Phone
(704) 376-3947
Fax
(704) 376-9487
NPI assigned
Sep 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 626 NC Primary

Addresses

Primary practice location

6831 Fairview Rd
Charlotte, NC 28210-3386

Mailing address

6831 Fairview Rd
Charlotte, NC 28210-3386
Phone (704) 376-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105001842 NC Practitioner - Podiatry 6709196652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

8310 Medical Plaza Dr
Suite E
Charlotte, NC 28262-6703
Phone (704) 548-0222

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of skin lesions100
Removal of nail tissue601
Removal or shaving of skin growth259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
626NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

8310 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 548-0222

10370 Park Rd
Charlotte, NC 28210
Phone (704) 542-8253

6831 Fairview Rd
Ste A
Charlotte, NC 28210
Phone (704) 364-2151

10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253

9216 Ardrey Kell Rd
Ste 100
Charlotte, NC 28277
Phone (704) 455-6517

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

492 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 788-9797

3800 NC Highway 49 S
Harrisburg, NC 28075

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1891046454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103386",
            "telephone_number": "704-376-3947",
            "fax_number": "704-376-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103386",
            "telephone_number": "704-376-3947",
            "fax_number": "704-376-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.