DR. RAUL A BORREGO (MD) – Internal Medicine Physician, NPI 1407834187
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
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Provider Addresses for DR. RAUL A BORREGO (MD)
West Liberty Street, Farmington, St. Francois County, Missouri, 63640, United States
FARMINGTON, MO 636401921
Phone: (573) 756-6751
Fax: (573) 756-6807
Type: Location
Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE 300
SAINT LOUIS, MO 631418573
Phone: (573) 756-6751
Fax: (573) 756-6807
Type: Mailing
530 N MIDDLE ST
FARMINGTON, MO 636401570
Phone: (573) 664-1174
Fax: (573) 664-1068
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,913.
Total Amount is formed as General ($1,913) + Research ($0) + Ownership ($0) = $1,913.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,913).
Total Amount
$1,913
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,913
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $1,913 |
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: 2004-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040826000317 | I | Internal Medicine | MO | TBD |
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.
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 63640)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO |
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