KEITH T BORG (MD) – Emergency Medicine Physician, NPI 1316042518

KEITH T BORG (MD) is a healthcare provider. based in Sheridan, Wyoming. specializing in PEDIATRIC MEDICINE, EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. TL29317 (SC). The NPI Number for KEITH T BORG (MD) is 1316042518

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KEITH T BORG (MD)
NPI
1316042518
Phone
(307) 672-1100
Address
1401 W 5th St
Enumeration Date
13 September 2006
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8437921414
Graduation Year
2000 (26 years ago)
PAC ID
6901798578
Group Practice PAC ID
6305758574
Professional Enrollment ID
I20060925000238
Address ID
SC294258908CH171XXAVEX300

Contacts

Secure Messaging
kborg20136@direct.musc.edu
Secure Messaging
kborg@sheridan.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

21 PEDIATRIC MEDICINE in WY

Provider Addresses for KEITH T BORG (MD)

  • 1401 W 5th St

    Sheridan, WY 828012705

    Phone: (307) 672-1100

    Type: Location

  • Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States

    CHARLOTTE, NC 282751461

    Phone: (843) 792-6200

    Type: Mailing

  • The Medical University of South Carolina, 171, Ashley Avenue, Charleston, Charleston County, South Carolina, 29425, United States

    CHARLESTON, SC 294250001

    Phone: (843) 792-1414

    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: 2016-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060925000238IPediatric MedicineSCTBD
I20161027000905IEmergency MedicineWYTBD

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
99284Emergency department visit with moderate level of medical decision making109105$0
99285Emergency department visit with high level of medical decision making106100$0
99283Emergency department visit with low level of medical decision making9688$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5450$0
99282Emergency department visit with straightforward medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 82801)

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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: 6305758574View full group profile

Reviews

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Frequently asked questions

How is KEITH T BORG (MD) identified in CMS data?
CMS-hosted NPPES data lists KEITH T BORG (MD) with NPI 1316042518.
Does CMS list KEITH T BORG (MD) as active?
Yes — KEITH T BORG (MD) is active in the NPI listing used on this page.
What taxonomy line describes KEITH T BORG (MD)?
For research purposes, treat KEITH T BORG (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KEITH T BORG (MD) based?
KEITH T BORG (MD) is tied to Sheridan, Wyoming in the data we show; additional addresses may exist on the full record.
Why does KEITH T BORG (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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