2026 NPPES data Emergency Medicine Physician NPI 1104863455 MD
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RAUL BORROMEO, MD

Emergency Medicine Physician in EDMONDS, Washington. 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
119
Medicare Part D claims · 93 beneficiaries · Emergency Medicine Physician avg: 352

What the federal data shows

RAUL BORROMEO, MD filed 119 Medicare Part D claims in 2023 as a Emergency Medicine Physician in EDMONDS, Washington.

119
Part D claims, 2023

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.

RAUL BORROMEO, MD's Medicare Part D volume vs every U.S. prescriber

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

119 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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-eligible specialty (heuristic — not verified)

RAUL BORROMEO, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RAUL BORROMEO, MD?

Quality data not reported

NPI registry status

Active

Issued 06/02/2006

NPI 1104863455

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

119 66% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Washington

How Emergency Medicine Physician compares to other specialties among Washington providers

Washington providers

Emergency Medicine Physician share within Washington

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Emergency 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).

RAUL BORROMEO, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 21601 76TH AVE W, EDMONDS, WA, 98026, with a listed phone of (425) 640-4100. NPI 1104863455 was issued on 06/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BORROMEO 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 119 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 25.2%. 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

21601 76TH AVE W
EDMONDS, WA 98026

Provider Details

NPI 1104863455
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/02/2006

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to RAUL BORROMEO, MD. To verify RAUL BORROMEO, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

119
Total Claims
$3K
Total Drug Cost
93
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
119
Total Day Supply
835
Generic Drug Cost
$879
Opioid Claims
30 (25.2% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.60
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
22

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

Emergency Medicine Physician Overview

How RAUL BORROMEO, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

RAUL BORROMEO, MD's 119 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as BORROMEO.

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

Frequently Asked Questions

What is RAUL BORROMEO, MD's specialty?
RAUL BORROMEO, MD specializes in Emergency Medicine Physician and practices in EDMONDS, Washington. Credentials: MD.
How much does RAUL BORROMEO, MD prescribe under Medicare Part D?
In 2023, RAUL BORROMEO, MD wrote 119 Medicare Part D claims totaling $3K in drug costs for 93 beneficiaries.
Where is RAUL BORROMEO, MD located?
RAUL BORROMEO, MD is located at 21601 76TH AVE W, EDMONDS, WA, 98026. Phone: (425) 640-4100.
What is RAUL BORROMEO, MD's NPI number?
RAUL BORROMEO, MD's National Provider Identifier (NPI) is 1104863455, issued on 06/02/2006.
Does RAUL BORROMEO, MD prescribe opioids?
Yes, RAUL BORROMEO, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 25.2%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does RAUL BORROMEO, MD prescribe most often?
Based on 2023 Medicare Part D data, RAUL BORROMEO, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAUL BORROMEO, MD accept Medicare?
RAUL BORROMEO, MD appears in CMS Medicare data with 119 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL BORROMEO, MD's credentials?
RAUL BORROMEO, MD's NPI is 1104863455 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