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BOONE BACON PA-C
NPI 1942875489
Physician Assistant in Dallas, TX

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 633-5555 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boone Bacon Pa-c NPPES

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

BOONE BACON PA-C (NPI 1942875489) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA14611) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of University Of Texas Southwestern Medical School At Dallas (2021).

NPPES Registry Identity

NPI1942875489
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBOONE BACONCredential: PA-C
Location Address6201 HARRY HINES BLVDDallas, TX 75390-0001
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Phone(214) 633-5555
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2021
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1942875489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA14611
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6201 HARRY HINES BLVD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Boone Bacon Pa-c 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 ID6002215688
PECOS Enrollment IDI20210602001099
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.

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

ALVIN A CHANDRA M.D.
Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MR. JONATHAN DEVRIES D.O.
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0580
ABDULLAH SHOAIB M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3916
BRITNEY WEBSTER APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0599
DR. HELEN LYNNE KING M.D.
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MURTAZA AHMED MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-3597
LULU LIU TENORIO MD
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (469) 207-3563
NICOLE ELIZABETH RICH M.D.
Internal Medicine (Gastroenterology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555

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 Boone Bacon's NPI number?

The NPI number for Boone Bacon is 1942875489. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Boone Bacon located?

Boone Bacon practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 633-5555.

What is Boone Bacon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Boone Bacon enrolled in Medicare?

Yes. Boone Bacon 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 Boone Bacon accept?

Health plans from Blue Cross and Blue Shield of Texas list Boone Bacon 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 Boone Bacon affiliated with any hospitals?

According to CMS data, Boone Bacon is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Boone Bacon was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.