MITCHELL BRYAN BOOTH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1659020949
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 PODIATRY in CO
Provider Addresses for MITCHELL BRYAN BOOTH (DPM)
1719 E 19TH AVE
DENVER, CO 802181235
Phone: (720) 754-6000
Type: Location
2307 W JOYLI CIR
WEST JORDAN, UT 840887652
Phone: (385) 228-6548
Type: Mailing
1904 E BARNETT RD
MEDFORD, OR 975048262
Phone: (541) 776-3338
Fax: (541) 776-4979
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 $517.
Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($221).
Total Amount
$517
General + Research + Ownership
Payments
15
Total payment records
General Amount
$517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-11
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 |
|---|---|---|---|---|
| I20250811003388 | I | Podiatry | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | OR | |
| P O D I A T R Y | UT |
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