THOMAS BOONE MD
NPI 1699188672
Family Medicine in Muncie, IN

Q: 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.

Q: What is Thomas Boone's specialty?

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

Q: 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 10 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 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: August 09, 2026.

On this page

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

Phone(765) 741-1515

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

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Other Identifiers 3

Medicare PIN264430329IN

Medicaid201239210IN

Medicare PIN256480034IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

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.

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

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

HEALTH CARE CONNECTIONS, INC.

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