MR. JOSHUA TED BORGSTADT (PA-C) – Physician Assistant, NPI 1417097155

MR. JOSHUA TED BORGSTADT (PA-C) is a healthcare provider. based in Pagosa springs, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3273 (CO). The NPI Number for MR. JOSHUA TED BORGSTADT (PA-C) is 1417097155

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA TED BORGSTADT (PA-C)
NPI
1417097155
Phone
(970) 731-9545
Address
95 S PAGOSA BLVD
Enumeration Date
8 February 2007
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4155906150
Graduation Year
2006 (20 years ago)
PAC ID
3072616119
Group Practice PAC ID
2567623739
Professional Enrollment ID
I20251231003356
Address ID
CA949032502SA1004XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for MR. JOSHUA TED BORGSTADT (PA-C)

  • 95 S PAGOSA BLVD

    PAGOSA SPRINGS, CO 811478329

    Phone: (970) 731-9545

    Fax: (970) 731-0511

    Type: Mailing

  • 1 EMBARCADERO CTR STE 1900

    SAN FRANCISCO, CA 941113723

    Phone: (415) 658-6791

    Type: Mailing

  • 2 EMBARCADERO CTR LBBY LEVEL

    SAN FRANCISCO, CA 941113823

    Phone: (888) 663-6331

    Fax: (415) 252-7176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250212003819IPhysician AssistantARTBD
I20251121001225IPhysician AssistantOKTBD
I20251231003356IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567623739View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JOSHUA TED BORGSTADT (PA-C)?
NPI 1417097155 is assigned to MR. JOSHUA TED BORGSTADT (PA-C) under the national enumeration system.
Does this profile mean MR. JOSHUA TED BORGSTADT (PA-C) is currently active?
Yes — MR. JOSHUA TED BORGSTADT (PA-C) appears active in the national provider directory.
What does MR. JOSHUA TED BORGSTADT (PA-C) treat or focus on?
Patients typically see MR. JOSHUA TED BORGSTADT (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JOSHUA TED BORGSTADT (PA-C)?
The page summarizes Pagosa Springs, Colorado for MR. JOSHUA TED BORGSTADT (PA-C); expand the address list for detail.
Is MR. JOSHUA TED BORGSTADT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1417097155. Always confirm identity and privileges with the practice and licensing boards.

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