DR. ELENA BORTAN (MD) – Neurology Physician, NPI 1922216191

DR. ELENA BORTAN (MD) is a healthcare provider. based in Mystic, Connecticut. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 235541 (MA). The NPI Number for DR. ELENA BORTAN (MD) is 1922216191

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELENA BORTAN (MD)
NPI
1922216191
Phone
(860) 870-6385
Address
100 PERKINS FARM DRIVE
Enumeration Date
19 May 2007
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608706388
Graduation Year
1997 (29 years ago)
PAC ID
0547336042
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20101021001094
Address ID
CT060665261VE35XXXRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

509 NEUROLOGY in CT

Provider Addresses for DR. ELENA BORTAN (MD)

  • 100 PERKINS FARM DRIVE

    SUITE 102

    MYSTIC, CT 06355

    Phone: (860) 870-6385

    Fax: (860) 245-0000

    Type: Location

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    BURLINGTON, MA 018050001

    Phone: (201) 724-4434

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $1,590.

Total Amount is formed as General ($1,590) + Research ($0) + Ownership ($0) = $1,590.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($807).

Total Amount

$1,590

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101021001094INeurologyCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0588Injection, incobotulinumtoxin a, 1 unit16,60136$0
J0585Injection, onabotulinumtoxina, 1 unit10,90221$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle10241$0
64616Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box4917$0
64644Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity4823$0
View full utilization report →

Insurance plans in this area (ZIP 06355)

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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: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

What federal number belongs to DR. ELENA BORTAN (MD)?
The federal identifier for DR. ELENA BORTAN (MD) is NPI 1922216191.
Is DR. ELENA BORTAN (MD) active in the national directory?
DR. ELENA BORTAN (MD)'s public NPI profile is in an active state.
What kind of provider is DR. ELENA BORTAN (MD)?
The page reflects Neurology Physician for DR. ELENA BORTAN (MD). Clinical services aligned with this taxonomy classification.
Does DR. ELENA BORTAN (MD) practice in Connecticut?
You will see Mystic, Connecticut on file for DR. ELENA BORTAN (MD) alongside any extra practice locations.
Is DR. ELENA BORTAN (MD) a real provider?
This page reflects official NPPES data for NPI 1922216191. Always confirm identity and privileges with the practice and licensing boards.

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