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PROF. CLINTON L BOOMGARDEN PA
NPI 1316049000
Physician Assistant in Atlanta, GA

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
59 EXECUTIVE PARK SOUTH NE, SUITE 2098, ATLANTA, GA 30329(404) 778-7230(404) 778-3835 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Clinton L Boomgarden Pa NPPES

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

PROF. CLINTON L BOOMGARDEN PA (NPI 1316049000) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (2221) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1988).

NPPES Registry Identity

NPI1316049000
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePROF. CLINTON L BOOMGARDENCredential: PA
Location Address59 EXECUTIVE PARK SOUTH NE, SUITE 2098Atlanta, GA 30329-2208
Mailing Address59 Executive Park South Ne, Suite 2098Atlanta, GA 30329-2208 · (404) 778-7230 · Fax (404) 778-3835
Phone(404) 778-7230
Fax(404) 778-3835
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316049000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 2221
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
59 EXECUTIVE PARK SOUTH NE, Atlanta, GA 30329
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Other Identifiers 1

Medicare UPINR74355GA

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

Prof. Clinton L Boomgarden Pa 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 ID9739371642
PECOS Enrollment IDI20101011000966
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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services60 patients
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.
19 services17 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
15 services14 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
14 services14 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
14 services14 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

DR. GARY R MCGILLIVARY MD
Orthopaedic Surgery
59 EXECUTIVE PARK SOUTH NE, SUITE 2097
ATLANTA, GA 30329
Dekalb County (404) 778-3350
DALE E ZEIGLER PA
Physician Assistant (Surgical)
59 EXECUTIVE PARK SOUTH NE, SUITE 3000
ATLANTA, GA 30329
Dekalb County (404) 778-7000
DR. SHERVIN V OSKOUEI MD
Orthopaedic Surgery
59 EXECUTIVE PARK SOUTH NE, SUITE 2083
ATLANTA, GA 30329
Dekalb County (404) 778-3350
DR. JOHN M RHEE MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
59 EXECUTIVE PARK SOUTH NE, SUITE 3050
ATLANTA, GA 30329
Dekalb County (404) 778-7000
DR. SCOTT D. BODEN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
59 EXECUTIVE PARK SOUTH NE, SUITE 3000
ATLANTA, GA 30329
Dekalb County (404) 778-7143
MS. DENISE COULTES NP-C
Nurse Practitioner (Critical Care Medicine)
59 EXECUTIVE PARK SOUTH NE, SUITE 2090
ATLANTA, GA 30329
Dekalb County (404) 778-6296
DR. WALTER A CARPENTER PHD, MD
Radiology (Diagnostic Radiology)
59 EXECUTIVE PARK SOUTH NE, RADIOLOGY - 4TH FLOOR
ATLANTA, GA 30329
Dekalb County (404) 778-5834
MR. DANIEL J.R. KRAUSHAAR PT, CSCS
Physical Therapist
59 EXECUTIVE PARK SOUTH NE, SUITE 1100
ATLANTA, GA 30329
Dekalb County (404) 778-6330

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 Clinton Boomgarden's NPI number?

The NPI number for Clinton Boomgarden is 1316049000. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Clinton Boomgarden located?

Clinton Boomgarden practices at 59 Executive Park South NE Suite 2098, Atlanta, GA 30329. The listed phone number is (404) 778-7230.

What is Clinton Boomgarden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clinton Boomgarden enrolled in Medicare?

Yes. Clinton Boomgarden 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 Clinton Boomgarden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.