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DR. JEFFREY E BOOTH M.D.
NPI 1174552830
Internal Medicine - Rheumatology in Ogden, UT

Active since July 02, 2006PECOS Enrolled
4403 HARRISON BLVD, STE 3650, OGDEN, UT 84403(801) 387-7125(801) 387-7130 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeffrey E Booth M.d. NPPES

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

DR. JEFFREY E BOOTH M.D. (NPI 1174552830) is an individual rheumatology provider in Ogden, Utah, licensed in Utah (771607311205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174552830
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JEFFREY E BOOTHCredential: M.D.
Location Address4403 HARRISON BLVD, STE 3650Ogden, UT 84403-3271
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-7125 · Fax (801) 387-7130
Phone(801) 387-7125
Fax(801) 387-7130
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1174552830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in UT · 771607311205
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4403 HARRISON BLVD, Ogden, UT 84403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey E Booth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Pulmonary Disease
4403 HARRISON BLVD STE 3875
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1033853775 (801) 387-8290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRYSON S. SMITH, MD, PC
Neurological Surgery
4403 HARRISON BLVD, SUITE 1815
OGDEN, UT 84403
Weber County (801) 387-6520
H DARRELL WOODS, M.D. P.C.
Obstetrics & Gynecology
4403 HARRISON BLVD, SUITE 4440
OGDEN, UT 84403
Weber County (801) 387-4490
IHC HEALTH SERVICES, INC
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD, STE 3490
OGDEN, UT 84403
Weber County (801) 387-2650
IHC HEALTH SERVICES INC
Podiatrist
4403 HARRISON BLVD, #2835
OGDEN, UT 84403
Weber County (801) 387-7945
SCOTT ALLEN ANDELIN MD
Family Medicine
4403 HARRISON BLVD, STE A-700
OGDEN, UT 84403
Weber County (801) 387-5300
DR. CURTIS M CAMPBELL MD
Urology
4403 HARRISON BLVD, SUITE 4400
OGDEN, UT 84403
Weber County (801) 387-4550
DR. JACK D WAHLEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4403 HARRISON BLVD, STE 3630
OGDEN, UT 84403
Weber County (801) 387-7900
DR. SARA ELIZABETH WOOD D.O.
Obstetrics & Gynecology
4403 HARRISON BLVD, STE 4815
OGDEN, UT 84403
Weber County (801) 387-8350

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 Jeffrey Booth's NPI number?

The NPI number for Jeffrey Booth is 1174552830. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Jeffrey Booth located?

Jeffrey Booth practices at 4403 Harrison Blvd Ste 3650, Ogden, UT 84403. The listed phone number is (801) 387-7125.

What is Jeffrey Booth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jeffrey Booth enrolled in Medicare?

Yes. Jeffrey Booth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Booth reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Booth was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.