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DR. HOLLY RENEE BOOTH O.D.
NPI 1194749473
Optometrist in Middlesboro, KY

Active since July 27, 2006PECOS Enrolled
89.12/100
CMS Quality Rating
1502 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-0932(606) 248-1384 Get Directions Write a Review

NPPES record last updated: July 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Holly Renee Booth O.d. NPPES

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

DR. HOLLY RENEE BOOTH O.D. (NPI 1194749473) is an individual optometrist in Middlesboro, Kentucky, licensed in Kentucky (1673DT) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194749473
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HOLLY RENEE BOOTHCredential: O.D.
Location Address1502 CUMBERLAND AVEMiddlesboro, KY 40965-1223
Mailing Address1502 Cumberland AveMiddlesboro, KY 40965-1223 · (606) 248-0932 · Fax (606) 248-1384
Phone(606) 248-0932
Fax(606) 248-1384
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 16, 2016
✔ NPI 1194749473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1673DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1502 CUMBERLAND AVE, Middlesboro, KY 40965
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Other Identifiers 7

Other134506Vision Care Pin Number
Medicare ID-Type Unspecified0755902Medicare Number
Other000000492097KY · Anthem Pin Number
Other1231987Cha Provider Number
Medicare UPINV10770
Medicaid010332605VA
Other1673DTKY · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Holly Renee Booth O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759381684
PECOS Enrollment IDI20061228000002
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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
694 services490 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
687 services563 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
609 services524 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
416 services411 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
378 services360 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
292 services182 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

89.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Improvement Activities40
Cost76.66

Reported Quality Measures

Advance Care Plan
100%226 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
67%66 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
100%118 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%1,102 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%20 patients
Provide Patients Electronic Access to Their Health Information
84%257 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.

Other Providers at the Same Location NPPES

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

DAVID G. SANFORD, M.D., P.S.C.
Ophthalmology
1502 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 248-0932

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 Holly Booth's NPI number?

The NPI number for Holly Booth is 1194749473. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Holly Booth located?

Holly Booth practices at 1502 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-0932.

What is Holly Booth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Holly Booth enrolled in Medicare?

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

What insurance does Holly Booth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Holly 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 Holly Booth was last updated on July 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.