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MITCHELL BRYAN BOOTH DPM
NPI 1659020949
Podiatrist - Foot & Ankle Surgery in Medford, OR

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
1904 E BARNETT RD, MEDFORD, OR 97504(541) 776-3338(541) 776-4979 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell Bryan Booth Dpm NPPES

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

MITCHELL BRYAN BOOTH DPM (NPI 1659020949) is an individual foot & ankle surgery provider in Medford, Oregon, licensed in Oregon (DP224114) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659020949
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMITCHELL BRYAN BOOTHCredential: DPM
Location Address1904 E BARNETT RDMedford, OR 97504-8262
Mailing Address2307 W Joyli CirWest Jordan, UT 84088-7652 · (385) 228-6548
Phone(541) 776-3338
Fax(541) 776-4979
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1659020949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OR · DP224114
1904 E BARNETT RD, Medford, OR 97504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Mitchell Bryan Booth Dpm 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 ID4183122971
PECOS Enrollment IDI20250811003388
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.

Hospital Affiliations CMS Care Compare 2

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

DEVIN DIMOND DPM
Podiatrist (Foot & Ankle Surgery)
1904 E BARNETT RD
MEDFORD, OR 97504
Jackson County (541) 776-3338
EVAN CHARD MERRILL DPM
Podiatrist (Foot Surgery)
1904 E BARNETT RD
MEDFORD, OR 97504
Jackson County (541) 776-3338
SOUTHERN OREGON FOOT & ANKLE, LLC
Podiatrist (Foot Surgery)
1904 E BARNETT RD
MEDFORD, OR 97504
Jackson County (541) 776-3338

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 Mitchell Booth's NPI number?

The NPI number for Mitchell Booth is 1659020949. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Mitchell Booth located?

Mitchell Booth practices at 1904 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 776-3338.

What is Mitchell Booth's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mitchell Booth enrolled in Medicare?

Yes. Mitchell Booth 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 Mitchell Booth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mitchell 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.

Is Mitchell Booth affiliated with any hospitals?

According to CMS data, Mitchell Booth is affiliated with Asante Rogue Regional Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Mitchell Booth was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.