DEREK BOOTH
NPI 1568852986
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, IN

Active since January 24, 2015PECOS Enrolled
415 N 26TH ST, SUITE 201, LAFAYETTE, IN 47904(765) 446-6577 Get Directions Write a Review

NPPES record last updated: January 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Booth NPPES

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

DEREK BOOTH (NPI 1568852986) is an individual psychiatric/mental health provider in Lafayette, Indiana, licensed in Indiana (71005314B) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568852986
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDEREK BOOTH
Location Address415 N 26TH ST, SUITE 201Lafayette, IN 47904-2895
Mailing Address415 N 26th St, Suite 201Lafayette, IN 47904-2895
Sole ProprietorYes
Enumeration DateJanuary 24, 2015
NPI 1568852986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71005314B
415 N 26TH ST, Lafayette, IN 47904

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derek Booth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

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.
97%3,988 patients4/55-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.
100%1,640 patients5/55-star benchmark: 100%
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.
58%324 patients3/55-star benchmark: 99%
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…
19%405 patients1/55-star benchmark: 97%
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…
94%324 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…
14%324 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 24% · 29 patients
34%29 patients1/55-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.

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.

Dentist (Periodontics)
415 N 26TH ST, SUITE 303
LAFAYETTE, IN 47904
Case Manager/Care Coordinator
415 N 26TH ST
LAFAYETTE, IN 47904
Case Manager/Care Coordinator
415 N 26TH ST
LAFAYETTE, IN 47904
Nurse Practitioner (Psychiatric/Mental Health)
415 N 26TH ST
LAFAYETTE, IN 47904
Nurse Practitioner (Psychiatric/Mental Health)
415 N 26TH ST
LAFAYETTE, IN 47904
Psychiatry & Neurology (Psychiatry)
415 N 26TH ST, SUITE 201
LAFAYETTE, IN 47904
Psychiatry & Neurology (Psychiatry)
415 N 26TH ST, SUITE 201
LAFAYETTE, IN 47904
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
415 N 26TH ST, SUITE 201
LAFAYETTE, IN 47904

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 Derek Booth's NPI number?

The NPI number for Derek Booth is 1568852986. It was assigned to this individual provider in the NPPES registry on January 24, 2015.

Where is Derek Booth located?

Derek Booth practices at 415 N 26th St Suite 201, Lafayette, IN 47904. The listed phone number is (765) 446-6577.

What is Derek Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Derek Booth enrolled in Medicare?

Yes. Derek Booth is registered in the Medicare PECOS enrollment system.

What insurance does Derek Booth accept?

Health plans from UnitedHealthcare list Derek Booth 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.

When was this NPI record last updated?

The NPPES record for Derek Booth was last updated on January 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.