Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Douglas Joseph Borkowski , MD

General Practice • Wayne, NJ

Active NPI 1285769851 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

504 Valley Rd, Suite 200
Wayne, NJ 074703534

Call 9736942690 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

504 Valley Rd
Suite 200

Wayne, NJ 074703534

Telephone 9736942690
Fax 9736942762
Organization at the Same NPPES Address or Phone
Northlands Orthopaedic & Sports Medicine Pa Facility NPI 1588740195

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Medical Group Of New Jersey. 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

Medical School

Rutgers New Jersey Medical School

Graduation Year

1986

Medicare patients

825 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $176,761 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.

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 – by Provider and Service, 2024.

Paid by Medicare

About $131,342 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

570 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

$5,160 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.38 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

Years since graduation

40 years (graduated 1986)

CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional 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

2007

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.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Borkowski 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Borkowski 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Wayne and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under General Practice in New Jersey (2024, 44 clinicians with data). Median for this group: 630. Middle half: 258 to 1,828.

Too few clinicians listed under General Practice in Wayne have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under General Practice in New Jersey (2024, 44 clinicians with data). Median for this group: $52,443. Middle half: $28,272 to $130,826.

Too few clinicians listed under General Practice in Wayne have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under General Practice in New Jersey (2024, 44 clinicians with data). Median for this group: $38,278. Middle half: $19,699 to $101,862.

Too few clinicians listed under General Practice in Wayne have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under General Practice in New Jersey (2024, 55 clinicians with data). Median for this group: 300. Middle half: 41 to 1,501.

Too few clinicians listed under General Practice in Wayne have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under General Practice in New Jersey (2024, 55 clinicians with data). Median for this group: $14,264. Middle half: $1,057 to $107,303.

Too few clinicians listed under General Practice in Wayne have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under General Practice with a practice address in Wayne, NJ (216 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2021
Disclosure Year:

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $13.38.

Manufacturer Payment Nature Product Type Amount ($)
Genentech, Inc.
Food and Beverage
In-kind items and services
Xofluza General $13.38

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
505 433 $100.20 $40.50
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
494 389 $198.45 $99.56
87804 Detection test by immunoassay with direct visual observation for influenza virus
336 159 $37.73 $16.22
36415 Insertion of needle into vein for collection of blood sample
332 274 $29.64 $8.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
311 239 $291.74 $140.24
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
189 175 $37.73 $16.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
188 188 $293.50 $122.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
138 127 $26.64 $7.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
125 125 $443.18 $182.22
81003 Automated urinalysis test
110 97 $7.70 $2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
41 27 $119.38 $62.43
69210 Removal of impacted ear wax
19 17 $134.08 $52.68
90471 Administration of vaccine
18 18 $71.00 $23.13
96372 Injection of drug or substance under skin or into muscle
18 17 $71.00 $15.86
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
15 15 $46.70 $15.81
71046 X-ray of chest, 2 views
14 14 $77.53 $37.94
80053 Blood test, comprehensive group of blood chemicals
11 11 $32.78 $10.35

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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 187 936 $766.41 174
Methylprednisolone Methylprednisolone 44 282 $321.67 41
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 41 285 $497.41 40
Cefdinir Cefdinir 36 360 $715.60 36
Cephalexin Cephalexin 35 334 $202.95 33
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 29 275 $221.33 28
Amoxicillin Amoxicillin 28 268 $81.67 27
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 26 239 $123.60 24
Tobramycin-Dexamethasone Tobramycin/Dexamethasone 22 235 $1,296.32 21
Ciprofloxacin Hcl Ciprofloxacin Hcl 21 144 $62.13 20
Prednisone Prednisone 19 105 $23.31 14
Doxycycline Hyclate Doxycycline Hyclate 16 157 $71.74 16
Mometasone Furoate Mometasone Furoate 16 413 $217.56 15
Albuterol Sulfate Hfa Albuterol Sulfate 15 607 $388.43 14
Ondansetron Odt Ondansetron 14 42 $84.38 13
Tobramycin Tobramycin 14 189 $85.04 13

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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES NJ 25MA05022000

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Internal Medicine - Sports Medicine

NUCC Taxonomy Code: 207RS0010X

License # reported to NPPES NJ 25MA05022000

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20040520001061

Enrollment State Jurisdiction

NJ

PECOS Control ID

3173514908

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

The Medical Group Of New Jersey

2 Broadway, Hillsdale, NJ 076422719

Phone: 2015239222

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Dr. Anthony Festa , MD

Orthopaedic Surgery - Sports Medicine

NPI 1154455947

Doctor of Medicine (M.D.)

Colleen Joseph

Physician Assistant

NPI 1740703206
Dr. Vincent Mcinerney , MD

Orthopaedic Surgery

NPI 1669496865

Doctor of Medicine (M.D.)

Mark Oberthaler , PA-C

Physician Assistant

NPI 1649688243

Physician Assistant (Certified)

Dr. Andrew Sawires , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1568966935

Doctor of Medicine (M.D.)

Dr. Anthony Scillia , MD

Orthopaedic Surgery

NPI 1518151547

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated February 22, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285769851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: January 15, 2014
Sole Proprietor: Yes

Mailing Address

2 Crescent Dr

Ringwood, NJ 074561109

Phone: 9736160240

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.