BRADLEY A BOONE M.D.
NPI 1730151457
Surgery - Vascular Surgery in Georgetown, TX

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
79.7/100
CMS Quality Rating
3201 S AUSTIN AVE, GEORGETOWN, TX 78626(512) 459-8753(512) 483-6807 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Jan 25, 2019 (2 updates tracked since 2019).

About Bradley A Boone M.d. NPPES

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

BRADLEY A BOONE M.D. (NPI 1730151457) is an individual vascular surgery provider in Georgetown, Texas, licensed in Texas (P8338) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Tulane University School Of Medicine (1996).

NPPES Registry Identity

NPI1730151457
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameBRADLEY A BOONECredential: M.D.
Location Address3201 S AUSTIN AVEGeorgetown, TX 78626-7545
Mailing Address2111 14th StMeridian, MS 39301-4041 · (601) 693-3834 · Fax (601) 484-3225
Fax(512) 483-6807
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1996
Enumeration DateFebruary 6, 2006
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1730151457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in TX · P8338 Licensed in OK · 44117
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3201 S AUSTIN AVE, Georgetown, TX 78626

Other Identifiers 2

Medicaid201292450AOK
Medicaid333764R401TX

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

Bradley A Boone 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 ID9537061726
PECOS Enrollment IDI20140305001328, I20241206001517
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 19

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.

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.
122 services97 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.
83 services62 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
82 services63 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
67 services57 patients
Ultrasound of aorta, vena cava, groin vessels or bypass grafts 93979
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.
42 services38 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
40 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

79.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.63
Promoting Interoperability99
Improvement Activities40
Cost51.86

Reported Quality Measures

Advance Care Plan
0%390 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
28%29 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
36%175 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%108 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%772 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%500 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
12%721 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 331 patients
Patients screened: 97% · 331 patients
33%33 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%263 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%283 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 359 patients
Patients totalRate: 0% · 359 patients
0%359 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Allergy & Immunology (Allergy)
3201 S AUSTIN AVE, SUITE 140
GEORGETOWN, TX 78626
Podiatrist (Foot & Ankle Surgery)
3201 S AUSTIN AVE, SUITE 225
GEORGETOWN, TX 78626
Pain Medicine (Interventional Pain Medicine)
3201 S AUSTIN AVE, SUITE 265
GEORGETOWN, TX 78626
Internal Medicine
3201 S AUSTIN AVE, SUITE 130
GEORGETOWN, TX 78626
Internal Medicine
3201 S AUSTIN AVE, 130
GEORGETOWN, TX 78626
Internal Medicine (Medical Oncology)
3201 S AUSTIN AVE
GEORGETOWN, TX 78626
Allergy & Immunology (Allergy)
3201 S AUSTIN AVE, SUITE 140
GEORGETOWN, TX 78626
Otolaryngology
3201 S AUSTIN AVE, SUITE 370
GEORGETOWN, TX 78626

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 Bradley Boone's NPI number?

The NPI number for Bradley Boone is 1730151457. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Bradley Boone located?

Bradley Boone practices at 3201 S Austin Ave, Georgetown, TX 78626. The listed phone number is (512) 459-8753.

What is Bradley Boone's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Bradley Boone enrolled in Medicare?

Yes. Bradley 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.

What insurance does Bradley Boone accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Bradley 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 Bradley Boone affiliated with any hospitals?

According to CMS data, Bradley Boone is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Boone was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.