KEVIN CHARLES BOOTH (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1104822832
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for KEVIN CHARLES BOOTH (M.D.)
696 SAN RAMON VALLEY BLVD # 372
DANVILLE, CA 945264022
Phone: (925) 469-3120
Fax: (925) 924-1769
Type: Mailing
900 GREENLEY RD STE 914
SONORA, CA 953705287
Phone: (209) 536-5778
Fax: (925) 924-1769
Type: Mailing
5725, West Las Positas Boulevard, Hacienda, Pleasanton, Alameda County, California, 94588, United States
STE 200
PLEASANTON, CA 945884007
Phone: (925) 469-6274
Fax: (925) 924-1769
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $184,042.
Total Amount is formed as General ($184,042) + Research ($0) + Ownership ($0) = $184,042.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Farallon Surgical, LLC ($173,000).
Total Amount
$184,042
General + Research + Ownership
Payments
15
Total payment records
General Amount
$184,042
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Farallon Surgical, LLC | $173,000 |
| Orthofix Medical, Inc. | $10,761 |
| NuVasive, Inc. | $94 |
| Heron Therapeutics, Inc. | $80 |
| Globus Medical, Inc. | $69 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100225000180 | I | Orthopedic Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 276 | 197 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 263 | 213 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 259 | 213 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 219 | 219 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 80 | 64 | $0 |
Insurance plans in this area (ZIP 94526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 24 | 24 |
| ORTHOPEDIC SURGERY | CA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 19 | 19 |
| ORTHOPEDIC SURGERY | CA | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 39 | 22 |
| ORTHOPEDIC SURGERY | CA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 228 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Internal Medicine | CA |
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