KENNETH G BORIE (M.D.) – Family Medicine Physician, NPI 1144233206
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 FAMILY PRACTICE in VT
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Provider Addresses for KENNETH G BORIE (M.D.)
Randolph Post Office, 819, North Wendover Road, Grier Heights, Charlotte, Mecklenburg County, North Carolina, 28211, United States
44 SOUTH MAIN STREET
RANDOLPH, VT 050602000
Phone: (802) 728-2445
Fax: (802) 728-2394
Type: Mailing
44, Main Street, Elkins, Randolph County, West Virginia, 26241, United States
RANDOLPH, VT 050601381
Phone: (802) 728-2445
Fax: (802) 728-2394
Type: Location
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: 2006-01-17
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 |
|---|---|---|---|---|
| I20060117000735 | I | Family Practice | VT | 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 05060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VT | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | VT | |
| - | VT | |
| Physician Assistant | VT | |
| General Surgery | VA | |
| Physician Assistant | VT | |
| Hospitalist, Internal Medicine | CO | |
| H O S P I T A L I S T | FL | |
| Diagnostic Radiology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Nurse Practitioner | VT |
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