Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES BOONE DO
NPI 1861057408
Pediatrics in Highlands Ranch, CO

Active since May 09, 2019PECOS Enrolled
9137 RIDGELINE BLVD STE 130, HIGHLANDS RANCH, CO 80129(303) 471-0221 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Nov 4, 2024, Aug 2, 2022 and 1 more (4 updates tracked since 2019).

About Dr. James Boone Do NPPES

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

DR. JAMES BOONE DO (NPI 1861057408) is an individual pediatrics provider in Highlands Ranch, Colorado, licensed in Colorado (0069165) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861057408
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES BOONECredential: DO
Location Address9137 RIDGELINE BLVD STE 130Highlands Ranch, CO 80129-2394
Mailing Address1805 Shea Center Dr Ste 450Highlands Ranch, CO 80129-2255 · (303) 357-2559
Sole ProprietorNo
Enumeration DateMay 9, 2019
Last NPPES UpdateOctober 13, 20264 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1861057408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · 0069165
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9137 RIDGELINE BLVD STE 130, Highlands Ranch, CO 80129

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Boone Do 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 James Boone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
9135 RIDGELINE BLVD STE 190
Highlands Ranch, CO 80129
  • Reassigned Medicare billing, Colorado enrollment
  • 145 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80129 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 9

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

Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Nurse Practitioner (Pediatrics)
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Pediatrics
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129
Nurse Practitioner (Pediatrics)
9137 RIDGELINE BLVD STE 130
HIGHLANDS RANCH, CO 80129

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 James Boone's NPI number?

The NPI number for James Boone is 1861057408. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is James Boone located?

James Boone practices at 9137 Ridgeline Blvd Ste 130, Highlands Ranch, CO 80129. The listed phone number is (303) 471-0221.

What is James Boone's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Boone enrolled in Medicare?

Yes. James Boone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Boone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Boone reassigns Medicare benefits to Onpoint Medical Group, LLC (Highlands Ranch, CO). 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 James Boone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Boone accept?

Health plans from Select Health and UnitedHealthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Boone was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.