KEVIN CHARLES BOOTH M.D.
NPI 1104822832
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Sonora, CA

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
900 GREENLEY RD STE 914, SONORA, CA 95370(095) 365-7782(209) 536-5779 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Jan 14, 2019 (2 updates tracked since 2019).

About Kevin Charles Booth M.d. NPPES

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

KEVIN CHARLES BOOTH M.D. (NPI 1104822832) is an individual orthopaedic surgery of the spine provider in Sonora, California, licensed in California (G77956) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1992).

NPPES Registry Identity

NPI1104822832
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameKEVIN CHARLES BOOTHCredential: M.D.
Location Address900 GREENLEY RD STE 914Sonora, CA 95370-5287
Mailing Address900 Greenley Rd Ste 914Sonora, CA 95370-5287 · (209) 536-5778 · Fax (925) 924-1769
Fax(209) 536-5779
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1992
Enumeration DateJune 27, 2005
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1104822832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in CA · G77956
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

900 GREENLEY RD STE 914, Sonora, CA 95370

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

Kevin Charles Booth 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 ID9739242215
PECOS Enrollment IDI20100225000180
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 23

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.
246 services182 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.
196 services150 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.
179 services179 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
173 services140 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
88 services67 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
43 services42 patients

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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

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
1 supplier26 claims26 services$63.65 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
2 suppliers29 claims29 services$3,748.93 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier12 claims12 services$760.43 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

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

Orthopaedic Surgery
900 GREENLEY RD STE 914
SONORA, CA 95370

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 Kevin Booth's NPI number?

The NPI number for Kevin Booth is 1104822832. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Kevin Booth located?

Kevin Booth practices at 900 Greenley Rd Ste 914, Sonora, CA 95370. The listed phone number is (095) 365-7782.

What is Kevin Booth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Kevin Booth enrolled in Medicare?

Yes. Kevin Booth 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.

When was this NPI record last updated?

The NPPES record for Kevin Booth was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.