THOMAS BOONE MD
NPI 1699188672
Family Medicine in Muncie, IN

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 741-1515(765) 751-5087 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Boone Md NPPES

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

THOMAS BOONE MD (NPI 1699188672) is an individual family medicine provider in Muncie, Indiana, licensed in Indiana (01075582A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Socorro General Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1699188672
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS BOONECredential: MD
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address250 N Shadeland Ave, Ste 130Indianapolis, IN 46219-4959 · (317) 962-4792 · Fax (317) 962-4343
Fax(765) 751-5087
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateJune 6, 2014
Last NPPES UpdateAugust 19, 2015
✔ NPI 1699188672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01075582A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01075582A (IN)
2401 W UNIVERSITY AVE, Muncie, IN 47303

Other Identifiers 3

Medicare PIN264430329IN
Medicaid201239210IN
Medicare PIN256480034IN

Accepted 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

Thomas Boone Md 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 ID3476779364
PECOS Enrollment IDI20230331002683
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

7

Medicare enrollment records show Thomas Boone reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2401 W UNIVERSITY AVE
Muncie, IN 47303
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Indiana University Health Ball Memorial Physicians Inc
  • 635 clinicians in this Medicare group
Physical Therapist
410 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • Also billed through NPI 1790761138 (New Mexico)
  • 2,331 clinicians in this Medicare group
General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
General Acute Care Hospital
200 WEST HOSPITAL DRIVE
Whiteriver, AZ 85941
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
Public Health or Welfare
2400 W DATSI ST
Camp Verde, AZ 86322
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services39 patients

Hospital Affiliations CMS Care Compare

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

Socorro General Hospital

Critical Access Hospitals · Socorro, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321301
Location1202 Highway 60 WestSocorro, NM 87801 · Socorro County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier13 claims13 services$16.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims92 services$2.09 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.

Radiology (Diagnostic Radiology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Family Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Nurse Practitioner (Acute Care)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Physician Assistant (Medical)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Occupational Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Pathology (Clinical Pathology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303

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 Thomas Boone's NPI number?

The NPI number for Thomas Boone is 1699188672. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Thomas Boone located?

Thomas Boone practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 741-1515.

What is Thomas Boone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Boone enrolled in Medicare?

Yes. Thomas Boone 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 Thomas Boone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Boone reassigns Medicare benefits to 7 organizations: Health Care Connections, Inc. (Muncie, IN), Indiana University Health Blackford Hospital Inc (Hartford City, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Presbyterian Healthcare Services (Clovis, NM), Southwest Medical Associates, LLC (Albuquerque, NM) and 2 more organizations, listed in the Medicare section above. 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 Thomas Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Boone accept?

Health plans from Cigna Healthcare list Thomas Boone 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 Thomas Boone affiliated with any hospitals?

According to CMS data, Thomas Boone is affiliated with Socorro General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Boone was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.