DR. MICHAEL H BOOTHBY M.D.
NPI 1669419743
Orthopaedic Surgery - Sports Medicine in Fort Worth, TX

Q: What is Michael Boothby's NPI number?

The NPI number for Michael Boothby is 1669419743. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Michael Boothby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Michael Boothby was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 May 31, 2006PECOS EnrolledAccepts Medicare Assignment

7.25/100

CMS Quality Rating

2901 ACME BRICK PLZ, FORT WORTH, TX 76109(817) 529-1900(817) 529-1910 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Feb 28, 2018, Apr 12, 2017 (3 updates tracked since 2017).

On this page

About Dr. Michael H Boothby M.d. NPPES

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

DR. MICHAEL H BOOTHBY M.D. (NPI 1669419743) is an individual sports medicine provider in Fort Worth, Texas, licensed in Texas (M1030) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Columbia University College Of Physicians And Surgeons (2000).

NPPES Registry Identity

NPI1669419743

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. MICHAEL H BOOTHBYCredential: M.D.

Location Address2901 ACME BRICK PLZFort Worth, TX 76109-4124

Mailing Address2901 Acme Brick PlzFort Worth, TX 76109-4124 · (817) 529-1900 · Fax (817) 529-1910

Phone(817) 529-1900

Fax(817) 529-1910

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2000

Enumeration DateMay 31, 2006

Last NPPES UpdateOctober 8, 20203 updates tracked since enumeration

NPPES CertifiedOctober 8, 2020

✔ NPI 1669419743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · M1030

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2901 ACME BRICK PLZ, Fort Worth, TX 76109

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Other Identifiers 3

OtherP01010705TX · Medicare Railroad

Medicaid182488002TX

Other8V9720Bcbs Individual #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Michael H Boothby 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 ID3375547961

PECOS Enrollment IDI20060913000437

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 Reassignment

Medicare enrollment records show Michael Boothby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michael H Boothby, MD PA

Same address

Orthopaedic Surgery

2901 ACME BRICK PLZ
Fort Worth, TX 76109

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

NPI 1871878876 (817) 529-1900

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 36

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

13,537 services460 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

9,020 services439 patients

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331

Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.

3,400 services55 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,890 services192 patients

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

888 services16 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

763 services119 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

544 services11 patients

Re-evaluation for physical therapy, typically 20 minutes 97164

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

377 services190 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.

356 services251 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

342 services192 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.

312 services229 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

229 services206 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.

220 services220 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

156 services146 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

140 services126 patients

Application of whirlpool therapy 97022

Whirlpool therapy involves submerging a body part or the whole body in heated water. The swirling water helps to improve blood circulation, relax muscles, and promote healing. It's often used for conditions like arthritis, muscle strains, and post-surgical rehab.

113 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

111 services100 patients

Evaluation for occupational therapy, typically 45 minutes 97166

An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.

76 services73 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

46 services43 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

43 services38 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

42 services29 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

40 services38 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

39 services38 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

38 services28 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

37 services36 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

32 services32 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

31 services21 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

30 services21 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

28 services28 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.

23 services23 patients

Re-evaluation for occupational therapy, typically 30 minutes 97168

A re-evaluation for occupational therapy is a 30-minute session where your therapist assesses your progress and updates your treatment plan. It's crucial to ensure the therapy continues to meet your needs and help improve your daily living skills.

22 services18 patients

Removal of joint lining from multiple knee joint compartments using an endoscope 29876

This procedure, called a synovectomy, involves using an endoscope, a small camera, to view your knee joint. The surgeon then removes the inflamed joint lining from several areas of your knee. The goal is to reduce pain and improve joint function.

19 services19 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

18 services18 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

15 services15 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

13 services11 patients

X-ray of spine, 1 view 72020

An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital Fortworth

Acute Care Hospitals · Fort Worth, TX

OwnershipPhysician

CMS Certification Number450880

Location1800 Park Place AvenueFort Worth, TX 76110 · Tarrant 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.

7.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

24.17

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers18 claims18 services$37.32 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

1 supplier11 claims11 services$44.79 avg. paid by Medicare

Upper limb orthosis, not otherwise specified L3999

DME-Orthotic Devices · category DF000N

1 supplier16 claims16 services$298.79 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 20

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

HEATHER MARKGRAF

Occupational Therapist

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 529-1900

WILLIAM J SHAW IV PA-C

Physician Assistant

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 529-1900

JESSICA DAVENPORT PA-C

Physician Assistant

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 529-1900

ANDRE ALPHONSE MARSE DC

Chiropractor

2901 ACME BRICK PLZ, SUITE 100
FORT WORTH, TX 76109

Tarrant County (817) 882-6754

KALLY SMITH

Occupational Therapist

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 529-1900

MR. MICHAEL EVANS SANGENITO PA

Physician Assistant

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 423-2329

JULIA COOK PT, DPT

Physical Therapist

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (817) 529-1900

TEXAS HEALTH PHYSICIAN AFFILIATES BLUE PLLC

Physical Therapist

2901 ACME BRICK PLZ
FORT WORTH, TX 76109

Tarrant County (682) 236-7678

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 Michael Boothby's NPI number?

The NPI number for Michael Boothby is 1669419743. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michael Boothby located?

Michael Boothby practices at 2901 Acme Brick Plz, Fort Worth, TX 76109. The listed phone number is (817) 529-1900.

What is Michael Boothby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Michael Boothby enrolled in Medicare?

Yes. Michael Boothby 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 organization bills Medicare for Michael Boothby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boothby reassigns Medicare benefits to Michael H Boothby, MD PA (Fort Worth, TX). The 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 Michael Boothby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Boothby accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Michael Boothby 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 Michael Boothby affiliated with any hospitals?

According to CMS data, Michael Boothby is affiliated with Texas Health Harris Methodist Hospital Fort Worth and Baylor Scott And White Surgical Hospital Fortworth.

When was this NPI record last updated?

The NPPES record for Michael Boothby was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.