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ANDREA B BOONE M.D.
NPI 1528016235
Obstetrics & Gynecology in Visalia, CA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1700 S COURT ST STE B, VISALIA, CA 93277(559) 741-1202(559) 741-0123 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2018, Aug 15, 2017, Mar 30, 2016 (3 updates tracked since 2016).

About Andrea B Boone M.d. NPPES

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

ANDREA B BOONE M.D. (NPI 1528016235) is an individual obstetrics & gynecology provider in Visalia, California, licensed in California (G79417) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1528016235
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA B BOONECredential: M.D.
Location Address1700 S COURT ST STE BVisalia, CA 93277-4931
Mailing Address1700 S Court St, Ste BVisalia, CA 93277-4931 · (559) 741-1202 · Fax (559) 741-0123
Phone(559) 741-1202
Fax(559) 741-0123
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 8, 20183 updates tracked since enumeration
✔ NPI 1528016235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G79417
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1700 S COURT ST STE B, Visalia, CA 93277
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Other Identifiers 1

MedicaidGR0067850CA

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

Andrea B 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 ID8325025588
PECOS Enrollment IDI20040706000763
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 7

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 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.
203 services171 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.
95 services77 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.
48 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
30 services28 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.
29 services29 patients
Biopsy of lining of uterus 58100
A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93277 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 3

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

BRITTANY NICOLE WINTERS FNP
Nurse Practitioner (Women's Health)
1700 S COURT ST STE B
VISALIA, CA 93277
Tulare County (559) 741-1202
RITA SUSAN BARRON CNM
Obstetrics & Gynecology
1700 S COURT ST STE B
VISALIA, CA 93277
Tulare County (559) 741-1202
SHAY MARIE VENTURA N.P.
Nurse Practitioner
1700 S COURT ST STE B
VISALIA, CA 93277
Tulare County (559) 741-1202

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 Andrea Boone's NPI number?

The NPI number for Andrea Boone is 1528016235. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Andrea Boone located?

Andrea Boone practices at 1700 S Court St Ste B, Visalia, CA 93277. The listed phone number is (559) 741-1202.

What is Andrea Boone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Boone enrolled in Medicare?

Yes. Andrea 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 Andrea Boone was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.