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MRS. KATHLEEN A BOONE FNP
NPI 1538143391
Nurse Practitioner - Primary Care in Pawleys Island, SC

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
9699 OCEAN HWY, WACCMAAW MEDICAL CENTER, PAWLEYS ISLAND, SC 29585(843) 237-4296(843) 237-0495 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 5, 2021, Jan 17, 2020 (2 updates tracked since 2020).

About Mrs. Kathleen A Boone Fnp NPPES

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

MRS. KATHLEEN A BOONE FNP (NPI 1538143391) is an individual primary care provider in Pawleys Island, South Carolina, licensed in South Carolina (F1372) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1538143391
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KATHLEEN A BOONECredential: FNP
Location Address9699 OCEAN HWY, WACCMAAW MEDICAL CENTERPawleys Island, SC 29585-7425
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 652-8226
Phone(843) 237-4296
Fax(843) 237-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1538143391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in SC · F1372
9699 OCEAN HWY, Pawleys Island, SC 29585
Open in Google Maps ↗

Other Identifiers 1

MedicaidGP1370SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Mrs. Kathleen A Boone Fnp 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 ID5597998617
PECOS Enrollment IDI20140425000721
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
546 services365 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
240 services50 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
113 services34 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
108 services29 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
54 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29585 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.76
Promoting Interoperability99
Improvement Activities40
Cost61.73

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%811 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
99%102 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,652 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
63%2,101 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%132 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%776 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,872 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%776 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
50%776 patients3/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%100 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims28 services$5.70 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers44 claims44 services$43.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers31 claims31 services$113.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers33 claims90 services$43.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims64 services$25.35 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers20 claims106 services$16.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MRS. JOANNA MAZURKIEWICZ CHAVEZ FNP-BC
Nurse Practitioner (Family)
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 520-8729
KENT BRYCE LOADER JR. M.D.
Family Medicine
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
CYNTHIA RILEY
Nurse Practitioner
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
DR. RICHARD ANDREW PHILIPP II MD
Family Medicine
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
DR. MICHAEL BRITTON REMINES DO
Internal Medicine
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
EDWARD SCOTT BRUMFIELD MD
Family Medicine
9699 OCEAN HWY, GEORGETOWN HEALTH GROUP
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
COURTNEY STURGILL APRN
Nurse Practitioner (Family)
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4296
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Clinic/Center (Rural Health)
9699 OCEAN HWY
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-4297

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 Kathleen Boone's NPI number?

The NPI number for Kathleen Boone is 1538143391. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Kathleen Boone located?

Kathleen Boone practices at 9699 Ocean Hwy Waccmaaw Medical Center, Pawleys Island, SC 29585. The listed phone number is (843) 237-4296.

What is Kathleen Boone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kathleen Boone enrolled in Medicare?

Yes. Kathleen 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 Kathleen Boone accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Kathleen 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 Kathleen Boone affiliated with any hospitals?

According to CMS data, Kathleen Boone is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Boone was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.