MR. JUSTIN LUKE BOREN (PA) – Physician Assistant, NPI 1053468199
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. JUSTIN LUKE BOREN (PA)
53 CENTURY BLVD STE 120
NASHVILLE, TN 372143693
Phone: (615) 346-6213
Type: Mailing
1222 TROTWOOD AVE STE 211
COLUMBIA, TN 384016405
Phone: (931) 380-3033
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630001
Phone:
Type: Mailing
Parkridge Medical Center, 2333, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States
CHATTANOOGA, TN 374043258
Phone: (423) 698-6061
Fax: (865) 539-8008
Type: Location
410 42ND AVE N STE 400
NASHVILLE, TN 372093658
Phone: (615) 329-7887
Type: Mailing
832 WESTOVER DR STE 200
COLUMBIA, TN 384014843
Phone: (931) 830-3033
Fax: (931) 388-3401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Boston Scientific Corporation ($19).
Total Amount
$114
General + Research + Ownership
Payments
7
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-04-23
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 |
|---|---|---|---|---|
| I20070423000414 | I | Physician Assistant | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 464 | 365 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 37214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| Radiation Oncology | WV | |
| - | TN | |
| - | CO | |
| - | TN | |
| Nurse Practitioner | CA | |
| - | TN | |
| Internal Medicine | TN | |
| Radiation Oncology | TN | |
| - | TN |
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