DR. JOHN REYNOLDS BOON M.D.
NPI 1013154384
Urology in Sugar Land, TX

Active since January 08, 2009PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2043213 · Waiver
75/100
CMS Quality Rating
16651 SOUTHWEST FWY, MOB 1 SUITE 310, SUGAR LAND, TX 77479(281) 565-1250 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Reynolds Boon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN REYNOLDS BOON M.D. (NPI 1013154384) is an individual urology provider in Sugar Land, Texas, licensed in Texas (N2957) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 27, 2028, and is affiliated with Houston Methodist Hospital.

NPPES Registry Identity

NPI1013154384
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN REYNOLDS BOONCredential: M.D.
Location Address16651 SOUTHWEST FWY, MOB 1 SUITE 310Sugar Land, TX 77479-2345
Mailing Address16651 Southwest Fwy, Mob 1 Suite 310Sugar Land, TX 77479-2345 · (281) 565-1250
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateJanuary 8, 2009
Last NPPES UpdateFebruary 12, 2014
NPI 1013154384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · N2957
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
16651 SOUTHWEST FWY, Sugar Land, TX 77479

Other Identifiers 9

Other1813154384TX · Blue Cross Blue Shield
Medicare PIN8L17042TX
Medicaid280592102TX
OtherP00748658TX · Railroad Medicare
OtherP01062995TX · Railroad Medicare
Medicare PINTXB151708TX
Medicaid280592101TX
Medicare PINTXB151707TX
Medicare PIN8L16317TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Reynolds Boon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183777691
PECOS Enrollment IDI20090731000183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2043213

John Boon MD Urology · Sugar Land, TX
Active · expires Jun 27, 2028
CLIA Number45D2043213
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorJohn R. Boon
Laboratory Phone(281) 565-1250
Laboratory LocationJohn Boon MD Urology16651 Southwest Frwy Suite 310, Sugar Land, TX 77479
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
501 services392 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
418 services387 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
264 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services210 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services101 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Matagorda Regional Medical Center

Acute Care Hospitals · Bay City, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450465
Location104 7th StreetBay City, TX 77414 · Matagorda County
Emergency services Birthing friendly

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%977 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%1,443 patients1/55-star benchmark: 99%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
82%66 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%3,863 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
6%2,340 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
60%278 patients3/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
56%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims660 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers30 claims2,040 services$1.75 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers11 claims1,800 services$6.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
16651 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77479
Internal Medicine (Gastroenterology)
16651 SOUTHWEST FWY, SUITE 370
SUGAR LAND, TX 77479
Clinic/Center (Physical Therapy)
16651 SOUTHWEST FWY, SUITE 402
SUGAR LAND, TX 77479
Physician Assistant (Surgical)
16651 SOUTHWEST FWY, SUITE 360
SUGAR LAND, TX 77479
Clinic/Center (Primary Care)
16651 SOUTHWEST FWY, SUITE 150
SUGAR LAND, TX 77479
Podiatrist (Foot & Ankle Surgery)
16651 SOUTHWEST FWY, #230
SUGAR LAND, TX 77479
Obstetrics & Gynecology
16651 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77479
Obstetrics & Gynecology
16651 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Boon's NPI number?

The NPI number for John Boon is 1013154384. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is John Boon located?

John Boon practices at 16651 Southwest Fwy Mob 1 Suite 310, Sugar Land, TX 77479. The listed phone number is (281) 565-1250.

What is John Boon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Boon enrolled in Medicare?

Yes. John Boon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does John Boon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2043213) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Boon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list John Boon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Boon affiliated with any hospitals?

According to CMS data, John Boon is affiliated with Houston Methodist Hospital, Matagorda Regional Medical Center, El Campo Memorial Hospital, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for John Boon was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.