JAMES J. BOOKER IV MD
NPI 1538147384
Obstetrics & Gynecology in Winter Haven, FL

Q: What is James Booker's NPI number?

The NPI number for James Booker is 1538147384. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Q: What is James Booker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Booker was last updated on March 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

427 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 299-1107(863) 291-3318 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2019, Feb 15, 2019 (2 updates tracked since 2019).

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About James J. Booker Iv Md NPPES

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

JAMES J. BOOKER IV MD (NPI 1538147384) is an individual obstetrics & gynecology provider in Winter Haven, Florida, licensed in Florida (ME91226) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1538147384

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES J. BOOKER IVCredential: MD

Location Address427 E CENTRAL AVEWinter Haven, FL 33880-3051

Mailing Address427 E Central AveWinter Haven, FL 33880-3051 · (863) 299-1107 · Fax (863) 291-3318

Phone(863) 299-1107

Fax(863) 291-3318

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 3, 2006

Last NPPES UpdateMarch 15, 20192 updates tracked since enumeration

✔ NPI 1538147384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME91226

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.

427 E CENTRAL AVE, Winter Haven, FL 33880

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

James J. Booker Iv 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 ID6608830633

PECOS Enrollment IDI20041119000900

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 3

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.

27 services23 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.

26 services20 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

18 services17 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100052

Location200 Ave F NEWinter Haven, FL 33881 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

56%283 patients3/55-star benchmark: 93%

Cervical Cancer Screening

88%1,069 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

30%94 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

28%418 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

92%2,869 patients4/55-star benchmark: 100%

e-Prescribing

100%117 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%865 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

42%2,451 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,162 patients

0%1,162 patients

Provide Patients Electronic Access to Their Health Information

97%428 patients4/55-star benchmark: 100%

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.

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Other Providers at the Same Location NPPES 11

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

FLORIDA WOMAN CARE, LLC

Obstetrics & Gynecology