1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Orthopaedic Surgery
  6. NPI Profile

DAVID W BOONE MD
NPI 1033112875
Orthopaedic Surgery in Raleigh, NC

Active since May 24, 2005PECOS Enrolled
89.94/100
CMS Quality Rating
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612(919) 781-5600(919) 782-6578 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Mar 29, 2021, Jan 4, 2021 and 3 more (6 updates tracked since 2016).

About David W Boone Md NPPES

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

DAVID W BOONE MD (NPI 1033112875) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (94-00425) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Garner.

NPPES Registry Identity

NPI1033112875
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID W BOONECredential: MD
Location Address3001 EDWARDS MILL RD, SUITE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Phone(919) 781-5600
Fax(919) 782-6578
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateMay 24, 2005
Last NPPES UpdateMay 6, 20216 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1033112875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 94-00425
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 94-00425 (NC)
3001 EDWARDS MILL RD, Raleigh, NC 27612
Open in Google Maps ↗

Secondary Practice Location 1

Location 11325 Timber Dr EGarner, NC 27529-6924 · Phone (919) 781-5600 · Fax (919) 863-6821

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David W Boone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799688305
PECOS Enrollment IDI20100115000142
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.

Areas of Expertise CMS Part B claims 8

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
343 services217 patients
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.
315 services225 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
106 services79 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
104 services17 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.
102 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

89.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.9
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
97%72 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
98%2,184 patients4/55-star benchmark: 100%
e-Prescribing
86%1,162 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%670 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,226 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%2,180 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 2,141 patients
Patients screened: 86% · 2,141 patients
93%122 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%2,275 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%266 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 728 patients
Patients totalRate: 1% · 728 patients
1%728 patients4/55-star benchmark: 100%
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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$40.62 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier27 claims27 services$59.12 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier34 claims34 services$214.21 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.

BRADLEY K VAUGHN MD
Orthopaedic Surgery
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
TIFFANY S STEPHENS PA-C
Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
GEORGE HADLEY CALLAWAY MD
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
CHRISTIAN DALE SELBY PA-C, ATC
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
ERIC LEWIS PTA
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Wake County (919) 781-5600
MICHAEL MORAVEK
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
MR. FRANK SKIFF JANNOTTA MPT
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 719-3070
DANIEL J ALBRIGHT MD
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600

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 David Boone's NPI number?

The NPI number for David Boone is 1033112875. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is David Boone located?

David Boone practices at 3001 Edwards Mill Rd Suite 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is David Boone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Boone enrolled in Medicare?

Yes. David Boone is registered in the Medicare PECOS enrollment system.

What insurance does David Boone accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list David Boone 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 David Boone affiliated with any hospitals?

According to CMS data, David Boone is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for David Boone was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.