2026 NPPES data Family Medicine Physician NPI 1104405240 MD
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NATHAN BORRERO, MD

Family Medicine Physician in MIDDLETOWN, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
703
Medicare Part D claims · 97 beneficiaries · Family Medicine Physician avg: 3K

What the federal data shows

NATHAN BORRERO, MD filed 703 Medicare Part D claims in 2023 as a Family Medicine Physician in MIDDLETOWN, New Jersey.

703
Part D claims, 2023
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.

NATHAN BORRERO, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

703 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

NATHAN BORRERO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 NATHAN BORRERO, MD?

Quality data not reported

NPI registry status

Active

Issued 04/06/2021

NPI 1104405240

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

703 79% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New Jersey

How Family Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Family Medicine Physician share within New Jersey

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

NATHAN BORRERO, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 18 LEONARDVILLE RD, MIDDLETOWN, NJ, 07748, with a listed phone of (732) 671-0860. NPI 1104405240 was issued on 04/06/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BORRERO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 703 prescription claims written by this provider, covering 97 Medicare beneficiaries and totaling roughly $91K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

18 LEONARDVILLE RD
MIDDLETOWN, NJ 07748

Provider Details

NPI 1104405240
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/06/2021

Hospital and facility affiliations

Facilities where NATHAN BORRERO, MD 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.

INTEGRATED MEDICINE ALLIANCE PA
SHREWSBURY, 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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

703
Total Claims
$91K
Total Drug Cost
97
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,248
Total Day Supply
35,864
Generic Drug Cost
$13K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.77
Gender Split
57% female / 43% male
Age Distribution
<65: 19, 65-74: 39, 75-84: 26, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What NATHAN BORRERO, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
30
Metoprolol Succinate
30
Omeprazole
30
Gabapentin
26
Lisinopril
26
Metformin Hcl
25
Fluticasone Propionate
24
Atorvastatin Calcium
20
Famotidine
19
Sertraline Hcl
17

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

Family Medicine Physician Overview

How NATHAN BORRERO, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

NATHAN BORRERO, MD's 703 claims are below the specialty average of 3,418.

Nearby Family 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 BORRERO.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHAN BORRERO, MD's specialty?
NATHAN BORRERO, MD specializes in Family Medicine Physician and practices in MIDDLETOWN, New Jersey. Credentials: MD.
How much does NATHAN BORRERO, MD prescribe under Medicare Part D?
In 2023, NATHAN BORRERO, MD wrote 703 Medicare Part D claims totaling $91K in drug costs for 97 beneficiaries.
Where is NATHAN BORRERO, MD located?
NATHAN BORRERO, MD is located at 18 LEONARDVILLE RD, MIDDLETOWN, NJ, 07748. Phone: (732) 671-0860.
What is NATHAN BORRERO, MD's NPI number?
NATHAN BORRERO, MD's National Provider Identifier (NPI) is 1104405240, issued on 04/06/2021.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does NATHAN BORRERO, MD prescribe most often?
Based on 2023 Medicare Part D data, NATHAN BORRERO, MD's most frequently prescribed drugs include Levothyroxine Sodium, Metoprolol Succinate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN BORRERO, MD accept Medicare?
NATHAN BORRERO, MD appears in CMS Medicare data with 703 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN BORRERO, MD's credentials?
NATHAN BORRERO, MD's NPI is 1104405240 with credentials MD. 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 April 2026 (NPPES) / 2023 (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