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2026 NPPES data Sports Medicine (Internal Medicine) Physician NPI 1285769851 M.D.
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Douglas Borkowski, M.D.

Sports Medicine (Internal Medicine) Physician in Wayne, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 299 in Sports Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
654
Medicare Part D claims · 460 beneficiaries · Sports Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
24.1/100
▼ 59 pts below national avg 83.5 · Below average
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Douglas Borkowski, M.D. reported a CMS MIPS final score of 24.1/100 - below the 83.5 national average - and filed 654 Medicare Part D claims in 2024.

24.1/100
MIPS score · -59 vs avg
654
Part D claims, 2024
96%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Douglas Borkowski, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1285769851), first enumerated 02/22/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 654 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 24.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Borkowski with other Sports Medicine (Internal Medicine) Physician providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in New Jersey

Other specialties in Wayne: Physical Therapist (101) · Clinical Social Worker (72) · Pharmacist (69) · Speech-Language Pathologist (60)

CMS NPPES provider registry desk

NPI 1285769851 · Sports Medicine (Internal Medicine) Physician

NPI-10 · ENUM-MID · TAX-TRACE · MIPS-LOW · RX-LIGHT · BOOK-THIN · NEAR-MIPS

  • NPI-10 1285769851
  • ENUM-MID 2007
  • TAX-TRACE 299
  • MIPS-LOW 24.1/100
  • RX-LIGHT 654
  • BOOK-THIN 18 in New Jersey
  • NEAR-MIPS Ruth Gonzalez, MD · 24.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Douglas Borkowski, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

24 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Douglas Borkowski, M.D. sits

This provider among sports medicine (internal medicine) physician peers

Across the 62 sports medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Borkowski, M.D. writes more Part D claims than 66% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Douglas Borkowski, M.D., Part D claim volume, percentile in specialty: 66 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Douglas Borkowski, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Douglas Borkowski, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Douglas Borkowski, M.D.?

Below national average

NPI registry status

Active

Issued 02/22/2007

NPI 1285769851

Primary specialty

Sports Medicine (Internal Medicine) Physician

Rare

299 US NPIs in this specialty

Medicare Part D claims

654 46% vs specialty avg

2024 prescription claims

Specialty avg: 1,220

MIPS final score

24.1/100 59.4 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in New Jersey

How Sports Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Sports Medicine (Internal Me…0%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Douglas Borkowski, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
24.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%24.1%
MIPS final score (Sports Medicine (Internal Medicine) Physician) - 24.1/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

504 VALLEY RD
Wayne, NJ 07470
(973) 694-2690

Provider Details

NPI 1285769851
Specialty Sports Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 02/22/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

24.1372
Final Score
Measured-score avg: 83.5
0
Quality
80.4574
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Douglas Borkowski, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

The Medical Group OF New Jersey
Hillsdale, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

Douglas Borkowski, M.D. - brand share 4.0%
Sports Medicine (Internal Medicine) Physician average

4% brand-name claims vs 96% generic, on 654 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

654
Total Claims
$7K
Total Drug Cost
460
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
660.667
Total Day Supply
5,878
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$643
Generic Drug Cost
$6K
Antibiotic Claims
438

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.06
Gender Split
65% female / 35% male
Age Distribution
<65: 34, 65-74: 214, 75-84: 168, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Douglas Borkowski, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Azithromycin
 187
Methylprednisolone
 44
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
41
Cefdinir
 36
Cephalexin
 35
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
29
Amoxicillin
 28
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
26
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
22
Ciprofloxacin Hcl
 21

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Sports Medicine (Internal Medicine) Physician in NJ → All providers in New Jersey → Compare specialties →

Sports Medicine (Internal Medicine) Physician Overview

How Douglas Borkowski, M.D. fits within the Sports Medicine (Internal Medicine) Physician landscape nationally.

299
Sports Medicine (Internal Medicine) Physician Providers in US
44
States with Sports Medicine (Internal Medicine) Physician
1,220
Avg Claims per Provider

Douglas Borkowski, M.D.'s 654 claims are below the specialty average of 1,220.

Nationwide Sports Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Borkowski, both outside New Jersey so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (24.1 here).

Ruth Gonzalez 0 TX Michael Kellis 0 OH Erich Weidenbener 0 IN Shawn Potteiger 49.9 PA

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jason Waterman Harbor City, CA David Josephson Philadelphia, PA Michael Fragen Lombard, IL Adam Weglein Bellaire, TX

Nearby Sports Medicine (Internal Medicine) Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Borkowski.

One of 18 Sports Medicine (Internal Medicine) Physician providers enrolled in New Jersey, 11 are shown on this page.

Dr. Vincent Disabella
DO
Vineland, NJ
Dr. Claudia Ginsberg
M.D.
Cedar Knolls, NJ
Dr. Michael Kelly
D.O.
West Orange, NJ
Dr. Rocco Martino
MD
Berkeley Heights, NJ
Dr. Damion Martins
MD
Morristown, NJ

Compare Sports Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Douglas Borkowski, M.D.'s specialty? ▼
Douglas Borkowski, M.D. specializes in Sports Medicine (Internal Medicine) Physician and practices in Wayne, New Jersey. Credentials: M.D..
How much does Douglas Borkowski, M.D. prescribe under Medicare Part D? ▼
In 2024, Douglas Borkowski, M.D. wrote 654 Medicare Part D claims totaling $7K in drug costs for 460 beneficiaries.
What is Douglas Borkowski, M.D.'s Medicare quality score? ▼
Douglas Borkowski, M.D. has a CMS MIPS Final Score of 24.1/100 (Quality: 0, Cost: 80.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Borkowski, M.D. located? ▼
Douglas Borkowski, M.D. is located at 504 VALLEY RD, Wayne, NJ, 07470. Phone: (973) 694-2690.
What is Douglas Borkowski, M.D.'s NPI number? ▼
Douglas Borkowski, M.D.'s National Provider Identifier (NPI) is 1285769851, issued on 02/22/2007.
Does Douglas Borkowski, M.D. prescribe more brand-name or generic drugs? ▼
Douglas Borkowski, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $643 in brand drug costs.
How many Sports Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 299 Sports Medicine (Internal Medicine) Physician providers across 44 states in the US. The average Sports Medicine (Internal Medicine) Physician provider writes 1,220 Medicare Part D claims per year.
What drugs does Douglas Borkowski, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Douglas Borkowski, M.D.'s most frequently prescribed drugs include Azithromycin, Methylprednisolone, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Borkowski, M.D. accept Medicare? ▼
Douglas Borkowski, M.D. appears in CMS Medicare data with 654 Part D claims and 460 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Borkowski, M.D.'s credentials? ▼
Douglas Borkowski, M.D.'s NPI is 1285769851 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.