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

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: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Sep 23, 2019, Jan 23, 2019 and 2 more (5 updates tracked since 2017).

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
Fax(806) 796-0034
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateMarch 19, 2017
Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
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

Secondary Practice Locations 3

Location 14608 93rd StLubbock, TX 79424 · Phone (806) 789-0553
Location 23601 4th St Stop 6211Lubbock, TX 79430 · Phone (806) 743-2978
Location 35103 98th St Ste 200Lubbock, TX 79424-7784 · Phone (806) 796-7193 · Fax (806) 796-0034

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 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.

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

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.

Physician Assistant
3601 22ND ST
LUBBOCK, TX 79410
Dermatology
3601 22ND ST
LUBBOCK, TX 79410
Dermatology
3601 22ND ST
LUBBOCK, TX 79410
Dermatology
3601 22ND ST, LUBBOCK DERMATOLOGY
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3601 22ND ST
LUBBOCK, TX 79410

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.

What insurance does William Boothe accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross and Blue Shield of Texas 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 September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.