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SUSAN L BOONE M.D.
NPI 1255523569
Dermatology - MOHS-Micrographic Surgery in Sacramento, CA

Active since August 10, 2007PECOS EnrolledAccepts Medicare Assignment
9201 BIG HORN BLVD, 2ND FLOOR, SACRAMENTO, CA 95864(916) 478-5660(916) 478-5665 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Feb 11, 2022, Aug 21, 2017 (3 updates tracked since 2017).

About Susan L Boone M.d. NPPES

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

SUSAN L BOONE M.D. (NPI 1255523569) is an individual mohs-micrographic surgery provider in Sacramento, California, licensed in California (A118004) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2004).

NPPES Registry Identity

NPI1255523569
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameSUSAN L BOONECredential: M.D.
Location Address9201 BIG HORN BLVD, 2ND FLOORSacramento, CA 95864
Mailing Address9201 Big Horn BlvdElk Grove, CA 95758-1240 · (916) 478-5660 · Fax (916) 478-5665
Phone(916) 478-5660
Fax(916) 478-5665
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2004
Enumeration DateAugust 10, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1255523569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · A118004
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 125052276 (IL)
9201 BIG HORN BLVD, Sacramento, CA 95864
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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 and accepts Medicare assignment

Susan L 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 ID2860689627
PECOS Enrollment IDI20111207000232
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 Susan Boone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca
8.9 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315
Permanente Medical Group Inc
29 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95864 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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 Susan Boone's NPI number?

The NPI number for Susan Boone is 1255523569. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Susan Boone located?

Susan Boone practices at 9201 Big Horn Blvd 2nd Floor, Sacramento, CA 95864. The listed phone number is (916) 478-5660.

What is Susan Boone's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Susan Boone enrolled in Medicare?

Yes. Susan 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.

Which organizations bill Medicare for Susan Boone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Boone reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Susan Boone'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 Susan Boone was last updated on July 21, 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.