WILLIAM DAVID BOOTHE JR. M.D.
NPI 1649711904
Dermatology in Lubbock, TX

Q: What is William Boothe's NPI number?

The NPI number for William Boothe is 1649711904. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Q: What is William Boothe's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for William Boothe was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 19, 2017PECOS EnrolledAccepts Medicare Assignment

3601 22ND ST, LUBBOCK, TX 79410(806) 796-7193(806) 796-0034 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Sep 3, 2025, Sep 23, 2019 and 3 more (6 updates tracked since 2017).

On this page

About William David Boothe Jr. M.d. NPPES

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

WILLIAM DAVID BOOTHE JR. M.D. (NPI 1649711904) is an individual dermatology provider in Lubbock, Texas, licensed in Texas (R9043) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1649711904

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameWILLIAM DAVID BOOTHE JR.Credential: M.D.

Location Address3601 22ND STLubbock, TX 79410-1399

Mailing Address4608 93rd StLubbock, TX 79424-5012 · (806) 789-0553

Phone(806) 796-7193

Fax(806) 796-0034

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017

Enumeration DateMarch 19, 2017

Last NPPES UpdateAugust 11, 20266 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1649711904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TX · R9043

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3601 22ND ST, Lubbock, TX 79410

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Secondary Practice Locations 3

Location 14608 93rd StLubbock, TX 79424 · Phone (806) 789-0553

Location 23601 4th StLubbock, TX 79430-0002 · Phone (806) 743-1832 · Fax (806) 743-1105

Location 35103 98th St Ste 200Lubbock, TX 79424-7784 · Phone (806) 796-7193 · Fax (806) 796-0034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

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

William David Boothe Jr. 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 ID4284909722

PECOS Enrollment IDI20250725003173

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

Medicare enrollment records show William Boothe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lubbock Dermatology And Skin Cancer Center

Same address

Dermatology

3601 22ND ST
Lubbock, TX 79410

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1295721066 (806) 796-7193

Texas Tech University Health Sciences Center Lubbock

1.0 mi

Podiatrist

3601 4TH ST
Lubbock, TX 79430

Reassigned Medicare billing, Texas enrollment
685 clinicians in this Medicare group

NPI 1538239769 (806) 743-2475

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 22

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,554 services274 patients

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.

784 services602 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

440 services380 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

320 services282 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

307 services307 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

304 services272 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

160 services152 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

128 services87 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.

96 services74 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

66 services66 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

57 services46 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

50 services47 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

40 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

34 services34 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

27 services20 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

24 services24 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

16 services16 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

15 services14 patients

Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm 11403

This is a procedure where a noncancerous skin growth, sized 2.1-3.0 cm, on the body, arms, or legs is removed. It's typically done under local anesthesia. The process involves cutting out the growth and stitching the skin back together. The aim is to eliminate discomfort and prevent potential health issues.

13 services12 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

13 services11 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm 11401

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 5

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

KRISTEN FARQUHAR PA-C

Physician Assistant

3601 22ND ST
LUBBOCK, TX 79410

Lubbock County (806) 796-7193

LUBBOCK DERMATOLOGY AND SKIN CANCER CENTER

Dermatology

3601 22ND ST
LUBBOCK, TX 79410

Lubbock County (806) 796-7193

DR. RICHARD H HOPE MD

Dermatology

3601 22ND ST
LUBBOCK, TX 79410

Lubbock County (806) 796-7193

DR. JUSTIN WAYNE CLARK MD

Dermatology

3601 22ND ST, LUBBOCK DERMATOLOGY
LUBBOCK, TX 79410

Lubbock County (806) 796-7193

MRS. CYNTHIA LYNN ADAMS FNP

Nurse Practitioner (Family)

3601 22ND ST
LUBBOCK, TX 79410

Lubbock County (806) 796-7193

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 William Boothe's NPI number?

The NPI number for William Boothe is 1649711904. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is William Boothe located?

William Boothe practices at 3601 22nd St, Lubbock, TX 79410. The listed phone number is (806) 796-7193.

What is William Boothe's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is William Boothe enrolled in Medicare?

Yes. William Boothe 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 William Boothe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Boothe reassigns Medicare benefits to 2 organizations: Lubbock Dermatology And Skin Cancer Center (Lubbock, TX) and Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). 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 William Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Boothe accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list William Boothe 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 William Boothe affiliated with any hospitals?

According to CMS data, William Boothe is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for William Boothe was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.