BORIS BRATOVICH (PAC) – Surgical Physician Assistant, NPI 1053311720

BORIS BRATOVICH (PAC) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA00358 (TX). The NPI Number for BORIS BRATOVICH (PAC) is 1053311720

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BORIS BRATOVICH (PAC)
NPI
1053311720
Phone
(713) 790-5227
Address
6560 FANNIN ST
Enumeration Date
26 July 2005
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7133639411
Graduation Year
1990 (36 years ago)
PAC ID
8123167202
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20091202000720
Address ID
TX774014505BE4710XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for BORIS BRATOVICH (PAC)

  • Houston Methodist - Scurlock Tower, 6560, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    SUITE 1842

    HOUSTON, TX 770302761

    Phone: (713) 790-5227

    Fax: (713) 790-5505

    Type: Location

  • PO BOX 3567

    HOUSTON, TX 772533567

    Phone: (713) 790-5227

    Fax: (713) 790-5505

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $576.

Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Abbott Laboratories ($363).

Total Amount

$576

General + Research + Ownership

Payments

16

Total payment records

General Amount

$576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2009-12-02

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
I20091202000720IPhysician AssistantTXTBD

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
33427Radical reconstruction of mitral valve on heart-lung machine1515$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
Medical Oncology, HematologyTX
Internal MedicineTX
General SurgeryNY
G A S T R O E N T E R O L O G YLA
Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify BORIS BRATOVICH (PAC) with an NPI only?
You can start verification with NPI 1053311720 for BORIS BRATOVICH (PAC), then check state licensing separately.
Does the file indicate BORIS BRATOVICH (PAC) is practicing under active NPI?
Directory data currently reports BORIS BRATOVICH (PAC) as active.
What is BORIS BRATOVICH (PAC)'s primary classification?
Surgical Physician Assistant is the headline specialty for BORIS BRATOVICH (PAC) here. Clinical services aligned with this taxonomy classification.
What address line appears for BORIS BRATOVICH (PAC)?
BORIS BRATOVICH (PAC)'s geographic hint is Houston, Texas in our summary view.
Is the information about BORIS BRATOVICH (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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