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DR. MICHAEL BOOTH MD
NPI 1184073629
Family Medicine in Grand Prairie, TX

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
2520 W I 20, GRAND PRAIRIE, TX 75052(722) 645-8589(972) 264-8800 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Jul 21, 2022, Aug 23, 2017 (3 updates tracked since 2017).

About Dr. Michael Booth Md NPPES

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

DR. MICHAEL BOOTH MD (NPI 1184073629) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (S3124) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2016).

NPPES Registry Identity

NPI1184073629
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL BOOTHCredential: MD
Location Address2520 W I 20Grand Prairie, TX 75052-7280
Mailing Address2520 W I 20Grand Prairie, TX 75052-7280 · (972) 264-5858 · Fax (972) 264-8800
Phone(722) 645-8589
Fax(972) 264-8800
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1184073629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S3124
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2520 W I 20, Grand Prairie, TX 75052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Booth Md 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 ID6103199005
PECOS Enrollment IDI20230509003113
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 Reassignments

2

Medicare enrollment records show Michael Booth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Health Physicians, PLLC
35 mi
Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 clinicians in this Medicare group
NPI 1770048704 (940) 220-5901
Impact Health Direct Primary Care, PLLC
37 mi
Primary Care
711 W LAMPASAS ST
Ennis, TX 75119
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1760004188 (972) 846-4800

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 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

MICHAEL OWUSU AGYEMANG APRN
Nurse Practitioner (Primary Care)
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
MEHA PATEL PA-C
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 539-6330
MS. ANGELA LAYTON HYDEN PA
Physician Assistant
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
AVNEET GILL MD
General Practice
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858
SAREENA SIYAS MD
Family Medicine
2520 W I 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 264-5858

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 Michael Booth's NPI number?

The NPI number for Michael Booth is 1184073629. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Michael Booth located?

Michael Booth practices at 2520 W I 20, Grand Prairie, TX 75052. The listed phone number is (722) 645-8589.

What is Michael Booth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Booth enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Booth reassigns Medicare benefits to 2 organizations: Primary Health Physicians, PLLC (Denton, TX) and Impact Health Direct Primary Care, PLLC (Ennis, TX). Each 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 Michael Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Booth accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Michael Booth 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.

When was this NPI record last updated?

The NPPES record for Michael Booth was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.