WILLIE BENTON BOONE M.D.
NPI 1942236542
Ophthalmology in Rancho Palos Verdes, CA

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
25 TRAMONTO DR, RANCHO PALOS VERDES, CA 90275(310) 265-9313(310) 265-8434 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willie Benton Boone M.d. NPPES

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

WILLIE BENTON BOONE M.D. (NPI 1942236542) is an individual ophthalmology provider in Rancho Palos Verdes, California, licensed in California (G13745) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1966).

NPPES Registry Identity

NPI1942236542
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILLIE BENTON BOONECredential: M.D.
Location Address25 TRAMONTO DRRancho Palos Verdes, CA 90275-5387
Mailing Address25 Tramonto DrRancho Palos Verdes, CA 90275-5387 · (310) 265-9313 · Fax (310) 265-8434
Fax(310) 265-8434
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1966
Enumeration DateJune 24, 2006
Last NPPES UpdateMay 17, 2013
NPI 1942236542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G13745
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
25 TRAMONTO DR, Rancho Palos Verdes, CA 90275

Other Names 1

Professional Name (2)Dr. W. Benton Boone M.d.

Other Identifiers 4

OtherG13745CA · Ca License
Medicare UPINA39077CA
OtherWG13745CCA · Individual Provider Transaction Access Number (ptan)
Medicaid00G137450CA

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

Willie Benton 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 ID4183527500
PECOS Enrollment IDI20040320000730
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90275 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
25 TRAMONTO DR
RANCHO PALOS VERDES, CA 90275

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 Willie Boone's NPI number?

The NPI number for Willie Boone is 1942236542. It was assigned to this individual provider in the NPPES registry on June 24, 2006. The provider is also known as Dr. W. Benton Boone M.D..

Where is Willie Boone located?

Willie Boone practices at 25 Tramonto Dr, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 265-9313.

What is Willie Boone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Willie Boone enrolled in Medicare?

Yes. Willie 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.

When was this NPI record last updated?

The NPPES record for Willie Boone was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.