STEPHEN BOONE M.D.
NPI 1205127305
Emergency Medicine in Houston, TX

Q: What is Stephen Boone's NPI number?

The NPI number for Stephen Boone is 1205127305. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Q: What is Stephen Boone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Boone was last updated on June 24, 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.

Active since April 22, 2011PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

1504 TAUB LOOP, DEPARTMENT OF EMERGENCY MEDICINE, HOUSTON, TX 77030(713) 873-2626(713) 873-6604 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2016, Dec 31, 2015 (2 updates tracked since 2015).

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About Stephen Boone M.d. NPPES

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

STEPHEN BOONE M.D. (NPI 1205127305) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (Q7153) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Texas Medical Branch At Galveston (2011).

NPPES Registry Identity

NPI1205127305

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSTEPHEN BOONECredential: M.D.

Location Address1504 TAUB LOOP, DEPARTMENT OF EMERGENCY MEDICINEHouston, TX 77030-1608

Mailing Address1504 Taub Loop, Department Of Emergency MedicineHouston, TX 77030-1608 · (713) 873-2626 · Fax (713) 873-6604

Phone(713) 873-2626

Fax(713) 873-6604

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2011

Enumeration DateApril 22, 2011

Last NPPES UpdateJune 24, 20162 updates tracked since enumeration

✔ NPI 1205127305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TX · Q7153✔ Licensed in DE · C1-0010261

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License C1-0010261 (DE), Q7153 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1504 TAUB LOOP, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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 and accepts Medicare assignment

Stephen Boone 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 ID345489761

PECOS Enrollment IDI20160826000566

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 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

84.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.49

Improvement Activities

Cost

54.39

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.

ZAVEN SARGSYAN MD

Internal Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

KAYE-ANN ANTONETTE CHRISTIE PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2000

EMILY MARIE WEBSTER PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

DR. MIGUEL A NIETO D.O.

Emergency Medicine

1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030

Harris County (713) 873-7045

DR. LOUIS BRUNO FORNAGE MD

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-3060

EMMA NAPOLI

Internal Medicine (Infectious Disease)

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2309

DR. MICHELE TROUTMAN GIFFORD MD

Obstetrics & Gynecology

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 798-1750

DR. KYLE SUEN M.D.

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

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 Stephen Boone's NPI number?

The NPI number for Stephen Boone is 1205127305. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Stephen Boone located?

Stephen Boone practices at 1504 Taub Loop Department Of Emergency Medicine, Houston, TX 77030. The listed phone number is (713) 873-2626.

What is Stephen Boone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephen Boone enrolled in Medicare?

Yes. Stephen Boone 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.

What insurance does Stephen Boone accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and UnitedHealthcare list Stephen 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 Stephen Boone affiliated with any hospitals?

According to CMS data, Stephen Boone is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Harris Health System.

When was this NPI record last updated?

The NPPES record for Stephen Boone was last updated on June 24, 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.