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AMANDA LE BOOTH MD
NPI 1750763389
Family Medicine in Lee's Summit, MO

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
760 NW BLUE PARKWAY, LEE'S SUMMIT, MO 64086(913) 297-7472(816) 347-2657 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2024, May 3, 2024, Jan 25, 2022 and 3 more (6 updates tracked since 2020).

About Amanda Le Booth Md NPPES

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

AMANDA LE BOOTH MD (NPI 1750763389) is an individual family medicine provider in Lee's Summit, Missouri, licensed in Missouri (2018024915) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2015).

NPPES Registry Identity

NPI1750763389
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA LE BOOTHCredential: MD
Location Address760 NW BLUE PARKWAYLee's Summit, MO 64086-5713
Mailing Address16801 Haskins StOverland Park, KS 66221-7143 · (309) 825-7974
Phone(913) 297-7472
Fax(816) 347-2657
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2015
Enumeration DateJune 19, 2015
Last NPPES UpdateAugust 14, 20246 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1750763389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2018024915✔ Licensed in IN · 11018226A✔ Licensed in KS · 0441255
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.
760 NW BLUE PARKWAY, Lee's Summit, MO 64086
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Other Names 1

Former Name (1)Amanda B. Le Md

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

Amanda Le Booth 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 ID6608189824
PECOS Enrollment IDI20241205002345
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 Amanda Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vohra Wound Physicians Of Fl, LLC
1,209 mi
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1407146707 (877) 866-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Other Providers at the Same Location NPPES 4

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

MICHAEL DUKE M.D.
Family Medicine
760 NW BLUE PARKWAY
LEE'S SUMMIT, MO 64086
Jackson County (913) 297-7472
JAMIE DURNER NBC-HWC
Health and Wellness Coach
760 NW BLUE PARKWAY
LEES SUMMIT, MO 64086
Jackson County (816) 395-3128
SPIRA CARE, LLC
Family Medicine
760 NW BLUE PARKWAY
LEE'S SUMMIT, MO 64086
Jackson County (913) 297-7472
SHELLEY HIESBERGER NP
Nurse Practitioner (Family)
760 NW BLUE PARKWAY
LEE'S SUMMIT, MO 64086
Jackson County (913) 297-7472

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 Amanda Booth's NPI number?

The NPI number for Amanda Booth is 1750763389. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Amanda B. Le MD.

Where is Amanda Booth located?

Amanda Booth practices at 760 NW Blue Parkway, Lee's Summit, MO 64086. The listed phone number is (913) 297-7472.

What is Amanda Booth's specialty?

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

Is Amanda Booth enrolled in Medicare?

Yes. Amanda Booth 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 Amanda Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Booth reassigns Medicare benefits to Vohra Wound Physicians Of Fl, LLC (Miramar, FL). 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 Amanda Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Booth was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.