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

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: July 26, 2026.

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

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 Baylor Scott And White Surgical Hospital Fortworth, 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
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

Other Identifiers 3

OtherP01010705TX · Medicare Railroad
Medicaid182488002TX
Other8V9720Bcbs Individual #

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

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.

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

Hospital Affiliations CMS Care Compare

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

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
Quality0
Improvement Activities0
Cost24.17

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.

Occupational Therapist
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Physician Assistant
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Physician Assistant
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Chiropractor
2901 ACME BRICK PLZ, SUITE 100
FORT WORTH, TX 76109
Occupational Therapist
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Physician Assistant
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Physical Therapist
2901 ACME BRICK PLZ
FORT WORTH, TX 76109
Physical Therapist (Orthopedic)
2901 ACME BRICK PLZ
FORT WORTH, TX 76109

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.

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 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 with the weekly NPPES data releases published by CMS.