KEITH B BOONE MD
NPI 1265495139
Surgery in Fresno, CA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
205 E RIVER PARK CIR, SUITE 460, FRESNO, CA 93720(559) 261-4500 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith B Boone Md NPPES

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

KEITH B BOONE MD (NPI 1265495139) is an individual surgery provider in Fresno, California, licensed in California (G68568) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1988).

NPPES Registry Identity

NPI1265495139
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKEITH B BOONECredential: MD
Location Address205 E RIVER PARK CIR, SUITE 460Fresno, CA 93720-1571
Mailing AddressPo Box 28947Fresno, CA 93729-8947 · (559) 228-5448 · Fax (559) 224-3920
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1988
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 10, 2014
NPI 1265495139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G68568
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License G68568 (CA)
205 E RIVER PARK CIR, Fresno, CA 93720

Other Identifiers 1

Medicare UPING15447CA

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

Keith B Boone 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 ID143210013
PECOS Enrollment IDI20080124000245
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
17 services17 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Other Providers at the Same Location NPPES 6

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

Specialist
205 E RIVER PARK CIR, SUITE 460
FRESNO, CA 93720
Colon & Rectal Surgery
205 E RIVER PARK CIR, SUITE 460
FRESNO, CA 93720
Surgery
205 E RIVER PARK CIR, #460
FRESNO, CA 93720
Surgery
205 E RIVER PARK CIR, #460
FRESNO, CA 93720
Registered Nurse (Registered Nurse First Assistant)
205 E RIVER PARK CIR
FRESNO, CA 93720
Surgery
205 E RIVER PARK CIR, SUITE 460
FRESNO, CA 93720

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 Keith Boone's NPI number?

The NPI number for Keith Boone is 1265495139. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Keith Boone located?

Keith Boone practices at 205 E River Park Cir Suite 460, Fresno, CA 93720. The listed phone number is (559) 261-4500.

What is Keith Boone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Keith Boone enrolled in Medicare?

Yes. Keith 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.

When was this NPI record last updated?

The NPPES record for Keith Boone was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.