Dr. Benjamin J Borton , DNP
Nurse Practitioner โข Muskegon, MI
1675 Leahy St Ste 215a
Muskegon, MI 494425500
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Benjamin Borton is listed in NPPES under Nurse Practitioner.
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NPI assigned on September 26, 2017; this date does not establish years in practice.
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Published CMS data list 472 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 188 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 142 service units.
- 95251 โ Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report: 124 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,484 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Mounjaro (Tirzepatide) โ 729 prescription fills, including refills.
- Jardiance (Empagliflozin) โ 267 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) โ 252 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 46 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: 167. Middle half: 71 to 378.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 281 in 2020 to 472 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1675 Leahy St Ste 215a
Muskegon, MI 494425500
CMS Doctors and Clinicians lists 2 distinct group names: Advantage Health/Saint Mary'S Medical Group; Mercy Health Partners - Physician Specialist. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Michigan Medical School
2017
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
153 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $22,263 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $16,038 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
7,493 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,886,797 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $159.15 across 3 records.
By nature of payment
- Food and Beverage: $140.30 across 2 records.
- Education: $18.85 across 1 record.
Reporting-company totals
- Medtronic, Inc.: $122.41 across 1 record.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $18.85 across 1 record.
- Xeris Pharmaceuticals, Inc.: $17.89 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Borton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Borton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Muskegon and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: 167. Middle half: 71 to 378.
Too few clinicians listed under Nurse Practitioner in Muskegon have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: $13,518. Middle half: $5,492 to $27,097.
Too few clinicians listed under Nurse Practitioner in Muskegon have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,379 clinicians with data). Median for this group: $9,882. Middle half: $4,037 to $20,034.
Too few clinicians listed under Nurse Practitioner in Muskegon have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,584 clinicians with data). Median for this group: 358. Middle half: 97 to 1,477.
Too few clinicians listed under Nurse Practitioner in Muskegon have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,584 clinicians with data). Median for this group: $24,416. Middle half: $1,494 to $175,336.
Too few clinicians listed under Nurse Practitioner in Muskegon have Medicare Part D data for 2024 to compare.
30 active clinicians are listed under Nurse Practitioner with a practice address in Muskegon, MI (3,594 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Muskegon
10% of these 30 clinicians have the CMS telehealth indicator.
36.7% of these 30 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 68% from 281 in 2020 to 472 in 2024.
- 2020: 281
- 2021: 298
- 2022: 380
- 2023: 391
- 2024: 472
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Medicare-allowed amount
Medicare-allowed amount increased 41% from $15,762 in 2020 to $22,263 in 2024.
- 2020: $15,762
- 2021: $21,190
- 2022: $26,714
- 2023: $25,207
- 2024: $22,263
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Paid by Medicare
Paid by Medicare increased 30% from $12,342 in 2020 to $16,038 in 2024.
- 2020: $12,342
- 2021: $15,530
- 2022: $19,689
- 2023: $19,203
- 2024: $16,038
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 136% from 1,475 in 2020 to 3,484 in 2024.
- 2020: 1,475
- 2021: 2,242
- 2022: 2,803
- 2023: 3,385
- 2024: 3,484
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30-day fills
30-day fills increased 144% from 3,073 in 2020 to 7,493 in 2024.
- 2020: 3,073
- 2021: 4,864
- 2022: 6,189
- 2023: 7,487
- 2024: 7,493
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Part D drug cost
Part D drug cost increased 124% from $1,291,312 in 2020 to $2,886,797 in 2024.
- 2020: $1,291,312
- 2021: $2,295,258
- 2022: $2,904,373
- 2023: $3,455,494
- 2024: $2,886,797
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $327.04 in 2021 to $159.15 in 2025.
- 2021: $327.04
- 2022: $682.71
- 2023: $494.86
- 2024: $44.27
- 2025: $159.15
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $159.15.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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MINIMED 780G | General | $122.41 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Education
In-kind items and services
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JARDIANCE | General | $18.85 |
| Xeris Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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GVOKE HYPOPEN | General | $17.89 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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188 | 131 | $192.49 | $79.03 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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142 | 111 | $35.00 | $13.39 |
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95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
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124 | 92 | $85.00 | $27.43 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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18 | 15 | $256.33 | $116.84 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Mounjaro | Tirzepatide | 729 | 30,313 | $1,065,219.52 | 169 |
| Jardiance | Empagliflozin | 267 | 15,628 | $289,170.53 | 75 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 252 | 19,139 | $51,396.70 | 113 |
| Metformin Hcl Er | Metformin Hcl | 195 | 15,528 | $3,696.11 | 74 |
| Ozempic | Semaglutide | 180 | 9,392 | $290,890.93 | 53 |
| Pioglitazone Hcl | Pioglitazone Hcl | 133 | 10,783 | $2,660.02 | 44 |
| Trulicity | Dulaglutide | 107 | 4,788 | $155,572.29 | 40 |
| Novolog Flexpen | Insulin Aspart | 102 | 7,838 | $37,140.14 | 59 |
| Humalog Kwikpen U-100 | Insulin Lispro | 102 | 6,903 | $28,263.09 | 43 |
| Metformin Hcl | Metformin Hcl | 100 | 8,079 | $1,267.05 | 41 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 93 | 6,990 | $227,747.80 | 33 |
| Farxiga | Dapagliflozin Propanediol | 89 | 5,833 | $102,407.55 | 29 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 89 | 5,887 | $10,314.78 | 42 |
| Humalog | Insulin Lispro | 74 | 6,125 | $24,051.15 | 30 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 74 | 5,673 | $76,451.39 | 31 |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 68 | 3,390 | $67,747.69 | 14 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 52 | 4,376 | $7,333.41 | 28 |
| Lisinopril | Lisinopril | 50 | 4,480 | $507.04 | 18 |
| Atorvastatin Calcium | Atorvastatin Calcium | 50 | 4,330 | $615.07 | 23 |
| Gvoke Hypopen 2-Pack | Glucagon | 49 | 453 | $33,333.63 | 32 |
| Levothyroxine Sodium | Levothyroxine Sodium | 47 | 3,891 | $809.06 | 18 |
| Novolog | Insulin Aspart | 47 | 3,704 | $15,879.51 | 23 |
| Bydureon Bcise | Exenatide Microspheres | 45 | 1,260 | $35,706.31 | โ |
| Tresiba Flextouch U-100 | Insulin Degludec | 37 | 3,024 | $46,815.75 | 14 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 37 | 2,117 | $34,815.32 | 16 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-02-08NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20171018001315
MI
6406122571
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mercy Health Partners - Physician Specialist
1500 E Sherman Blvd, Muskegon, MI 494441849
Phone: 2316723027
Advantage Health/saint Mary's Medical Group
300 Lafayette Ave Se, Grand Rapids, MI 495034692
Phone: 6166853098
Mercy Health Partners - Physician Specialist
1500 E Sherman Blvd, Muskegon, MI 494441849
Phone: 2316726815
Mercy Health Partners - Physician Specialist
1675 Leahy St, Muskegon, MI 494425500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
ANPBCMS
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Nurse Practitioner
Doctor of Nursing Practice, Registered Nurse, Adult-Gerontology Nurse Practitioner
Nurse Practitioner - Adult Health
Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1675 LEAHY ST STE 215A, MUSKEGON, MI 494425500 (Tel: 6166853098)
Registered at 1675 LEAHY ST STE 215A, MUSKEGON, MI 494425500 (Tel: 2316722120)
Recorded as BENJAMIN BORTON, D-NP
NPI status registered as active in NPPES database
Registered at 3535 PARK ST STE 110, NORTON SHORES, MI 494443736 (Tel: 2316723155)
Registered at PO BOX 1848, MUSKEGON, MI 494431848 (Tel: 2317275211)
Recorded as BENJAMIN BORTON, NP
Nurse Practitioner (license number reported to NPPES: MI 4704289708)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Muskegon
- Kristen Vanhouten
- Martin Ruiter, NP
- Janice Cooper, NP
- Robin Anderson, NP
- Katherine Weichhand, NP
- Julie Juntunen, RN, MSN, FNP-C
Mailing Address
1675 Leahy St Ste 215a
Muskegon, MI 494425500
Phone: 2316722120