DR. JEFFREY MARC BOORSTEIN (MD) – Diagnostic Radiology Physician, NPI 1003862806

DR. JEFFREY MARC BOORSTEIN (MD) is a healthcare provider. based in Decatur, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. The NPI Number for DR. JEFFREY MARC BOORSTEIN (MD) is 1003862806

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY MARC BOORSTEIN (MD)
NPI
1003862806
Phone
(217) 876-2300
Address
2300 N EDWARD ST
Enumeration Date
25 May 2006
Last Update Date
17 January 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2178765369
Graduation Year
1987 (39 years ago)
PAC ID
6901890482
Group Practice PAC ID
6800275900
Professional Enrollment ID
I20100618000835
Address ID
IL625359800FO389XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

2,123 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DR. JEFFREY MARC BOORSTEIN (MD)

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    DECATUR, IL 625264163

    Phone: (217) 876-2300

    Fax: (217) 876-6725

    Mailing address matches the actual address.

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: 2010-06-18

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
I20100618000835IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view1,315954$0
71046X-ray of chest, 2 views931873$0
70450Ct scan head or brain without contrast765665$0
77080Dxa bone density measurement of hip, pelvis, spine395394$0
72100X-ray of lower and sacral spine, 2-3 views316290$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

DR. JEFFREY MARC BOORSTEIN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front14221045
DIAGNOSTIC RADIOLOGYIL71250CT scan chest1919
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views8984
DIAGNOSTIC RADIOLOGYIL73140X-ray of fingers, minimum of 2 views2120
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views2218
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views177154
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers127125

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: 6800275900View full group profile
NameSpecialtyState
Diagnostic RadiologyIL
Diagnostic RadiologyMO
Interventional Radiology, Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL

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Frequently asked questions

Is there an official ID for DR. JEFFREY MARC BOORSTEIN (MD) in U.S. healthcare records?
The official identifier for DR. JEFFREY MARC BOORSTEIN (MD) is NPI 1003862806.
Is there an active status for DR. JEFFREY MARC BOORSTEIN (MD)?
For scheduling context, DR. JEFFREY MARC BOORSTEIN (MD) is shown as active in the registry.
What clinical focus is listed for DR. JEFFREY MARC BOORSTEIN (MD)?
At a glance, DR. JEFFREY MARC BOORSTEIN (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEFFREY MARC BOORSTEIN (MD)?
Travel planning: use Decatur, Illinois as the reference point for DR. JEFFREY MARC BOORSTEIN (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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