DR. ZACHARY C. BOOMS D.O.
NPI 1851664320
Emergency Medicine in Fort Campbell, KY

Q: What is Zachary Booms's NPI number?

The NPI number for Zachary Booms is 1851664320. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Q: What is Zachary Booms's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Booms was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 14, 2012PECOS Enrolled

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-3263 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Jun 20, 2023, Sep 27, 2018 (3 updates tracked since 2018).

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About Dr. Zachary C. Booms D.o. NPPES

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

DR. ZACHARY C. BOOMS D.O. (NPI 1851664320) is an individual emergency medicine provider in Fort Campbell, Kentucky, licensed in Tennessee (3614) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Sam Houston.

NPPES Registry Identity

NPI1851664320

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ZACHARY C. BOOMSCredential: D.O.

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400

Phone(270) 798-3263

Sole ProprietorYes

Enumeration DateFebruary 14, 2012

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1851664320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 3614✔ Licensed in VA · 0102203522✔ Licensed in TX · T1651

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

650 JOEL DR, Fort Campbell, KY 42223

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Secondary Practice Location 1

Location 13551 Roger Brooke Dr, MCHE/MEFort Sam Houston, TX 78234-4504 · Phone (210) 916-5545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zachary C. Booms D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Zachary Booms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Emergency Physicians LLC

243 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 20

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

LISA RENEE CORDELL RN

Registered Nurse