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MR. TERRY W BOONE PAC
NPI 1649430778
Physician Assistant - Medical in Marion, KY

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
308 S MAIN ST, MARION, KY 42064(270) 965-4377(270) 965-9569 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Terry W Boone Pac NPPES

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

MR. TERRY W BOONE PAC (NPI 1649430778) is an individual medical provider in Marion, Kentucky, licensed in Kentucky (PA1128) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1649430778
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TERRY W BOONECredential: PAC
Location Address308 S MAIN STMarion, KY 42064-1545
Mailing AddressPo Box 347Salem, KY 42078-0347 · (270) 988-3298 · Fax (270) 988-4642
Phone(270) 965-4377
Fax(270) 965-9569
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2008
Enumeration DateJune 12, 2008
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1649430778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in KY · PA1128
308 S MAIN ST, Marion, KY 42064
Open in Google Maps ↗

Secondary Practice Location 1

Location 1141 Hospital Dr Ste 102Salem, KY 42078-8043 · Phone (270) 988-3298 · Fax (270) 988-4642

Other Identifiers 1

Medicaid7100064700KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Mr. Terry W Boone Pac 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 ID7113085762
PECOS Enrollment IDI20081027000017
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
45 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Livingston Hospital And Healthcare Services, Inc

Critical Access Hospitals · Salem, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181320
Location131 Hospital DriveSalem, KY 42078 · Livingston County
Emergency services

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

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.
97%3,307 patients4/55-star benchmark: 99%
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…
30%100 patients2/55-star benchmark: 88%
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.
10%865 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…
4%865 patients1/55-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…
0%865 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%865 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 13

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
1 supplier12 claims28 services$5.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$114.80 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims24 services$33.44 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$23.65 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$17.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims66 services$2.53 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 2

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

SAMANTHA SAMUELS APRN
Nurse Practitioner (Family)
308 S MAIN ST
MARION, KY 42064
Crittenden County (270) 965-4377
TRI-RIVERS HEALTHCARE PLLC
Clinic/Center (Rural Health)
308 S MAIN ST
MARION, KY 42064
Crittenden County (270) 965-4377

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 Terry Boone's NPI number?

The NPI number for Terry Boone is 1649430778. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Terry Boone located?

Terry Boone practices at 308 S Main St, Marion, KY 42064. The listed phone number is (270) 965-4377.

What is Terry Boone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Terry Boone enrolled in Medicare?

Yes. Terry 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 Terry Boone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Terry 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 Terry Boone affiliated with any hospitals?

According to CMS data, Terry Boone is affiliated with Baptist Health Paducah and Livingston Hospital And Healthcare Services, Inc.

When was this NPI record last updated?

The NPPES record for Terry Boone was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.