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CHARLES MOORE BOOTHBY DO
NPI 1588600092
Preventive Medicine - Undersea and Hyperbaric Medicine in Palm Harbor, FL

Active since June 22, 2006PECOS Enrolled
3890 TAMPA RD, SUITE 201, PALM HARBOR, FL 34684(727) 781-3111(727) 781-3113 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Moore Boothby Do NPPES

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

CHARLES MOORE BOOTHBY DO (NPI 1588600092) is an individual undersea and hyperbaric medicine provider in Palm Harbor, Florida, licensed in Florida (OS4598) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588600092
Entity TypeIndividualMale
Primary Taxonomy2083P0011X
Provider Legal NameCHARLES MOORE BOOTHBYCredential: DO
Location Address3890 TAMPA RD, SUITE 201Palm Harbor, FL 34684-3676
Mailing AddressPo Box 25513Tampa, FL 33622-5513 · (727) 823-2188 · Fax (727) 828-0723
Phone(727) 781-3111
Fax(727) 781-3113
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 29, 2016
✔ NPI 1588600092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in FL · OS4598
Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

3890 TAMPA RD, Palm Harbor, FL 34684
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Other Identifiers 3

Medicaid069165800FL
Medicare PIN82569TFL
Medicare UPINE32267

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Moore Boothby Do 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 34684 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

MARK D TORKE MD
Orthopaedic Surgery
3890 TAMPA RD, SUITE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
JAY MERMELSTEIN MD PA
Family Medicine
3890 TAMPA RD, SUITE 303
PALM HARBOR, FL 34684
Pinellas County (727) 786-1747
PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS, PA
Internal Medicine
3890 TAMPA RD, SUITE 101
PALM HARBOR, FL 34684
Pinellas County (727) 789-5811
BRADLEY JAMES COHEN ARNP
Nurse Practitioner
3890 TAMPA RD, STE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR SANFORD PLEVIN MD PL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3890 TAMPA RD, STE 301
PALM HARBOR, FL 34684
Pinellas County (727) 784-2424
DR. CRISTOBAL ROSARIO M.D.
Internal Medicine
3890 TAMPA RD, SUITE 307
PALM HARBOR, FL 34684
Pinellas County (727) 786-6155
FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC
Durable Medical Equipment & Medical Supplies
3890 TAMPA RD, SUITE 202
PALM HARBOR, FL 34684
Pinellas County (727) 787-5577
DR. GARY M GOLDSTEIN M.D.
Pediatrics
3890 TAMPA RD, SUITE 102
PALM HARBOR, FL 34684
Pinellas County (727) 789-5811

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 Charles Boothby's NPI number?

The NPI number for Charles Boothby is 1588600092. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Charles Boothby located?

Charles Boothby practices at 3890 Tampa Rd Suite 201, Palm Harbor, FL 34684. The listed phone number is (727) 781-3111.

What is Charles Boothby's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Charles Boothby enrolled in Medicare?

Yes. Charles Boothby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Boothby was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.