DR. MICHAEL WARREN BOONE II M.D.
NPI 1558657882
Emergency Medicine in Santa Monica, CA

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
71.27/100
CMS Quality Rating
1250 16TH ST, SANTA MONICA, CA 90404(310) 825-9111 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Warren Boone Ii M.d. NPPES

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

DR. MICHAEL WARREN BOONE II M.D. (NPI 1558657882) is an individual emergency medicine provider in Santa Monica, California, licensed in California (A165678) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558657882
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL WARREN BOONE IICredential: M.D.
Location Address1250 16TH STSanta Monica, CA 90404-1249
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 24, 2011
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1558657882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A165678
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1250 16TH ST, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Warren Boone Ii 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 ID7911127527
PECOS Enrollment IDI20200812003842
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Michael Boone reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
757 WESTWOOD PLZ, STE 1419
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
Emergency Medicine
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
Emergency Medicine
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 67 clinicians in this Medicare group
Family Medicine
130 N BRAND BLVD STE 208
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Family Medicine
130 N BRAND BLVD STE 301
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
Emergency Medical Services
2975 SYCAMORE DR
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Emergency Medicine
2975 SYCAMORE DR
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Emergency Medicine
4002 VISTA WAY
Oceanside, CA 92056
  • Reassigned Medicare billing, California enrollment
  • 140 clinicians in this Medicare group
Emergency Medicine
1401 GARCES HWY
Delano, CA 93215
  • Reassigned Medicare billing, California enrollment
  • 301 clinicians in this Medicare group
Family Medicine
3651 LINDELL RD # D-373
Las Vegas, NV 89103
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
554 services521 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
259 services250 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services20 patients
Education and training to self measure blood pressure 99473
Education and training to self-measure blood pressure involves teaching you how to use a home blood pressure monitor correctly. You'll learn how to position the cuff, when and how often to take readings, and how to interpret and record the results. This empowers you to manage your health.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

71.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.55
Improvement Activities40
Cost45.05

Reported Quality Measures

Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
100%27 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.

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.

Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1250 16TH ST
SANTA MONICA, CA 90404
Emergency Medicine
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404

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 Michael Boone's NPI number?

The NPI number for Michael Boone is 1558657882. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Michael Boone located?

Michael Boone practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (310) 825-9111.

What is Michael Boone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Boone enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Boone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boone reassigns Medicare benefits to 10 organizations: Regents Of The Univ Of Ca Emer Med (Los Angeles, CA), Capital Hospitalist Medical Group Inc (Los Angeles, CA), Vep Mlk Emergency Medical Group Inc (Los Angeles, CA), California Mobile Medical Group Inc (Glendale, CA), Mobile Medical Group Inc (Glendale, CA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Boone was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.