DR. JASON REDWOOD BOOLE (M.D.) – Otolaryngology Physician, NPI 1104818350

DR. JASON REDWOOD BOOLE (M.D.) is a healthcare provider. based in Fort walton beach, Florida. specializing in OTOLARYNGOLOGY, SLEEP MEDICINE. They hold the professional credentials M.D.. They hold a License No. L9631 (TX). The NPI Number for DR. JASON REDWOOD BOOLE (M.D.) is 1104818350

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON REDWOOD BOOLE (M.D.)
NPI
1104818350
Phone
(850) 889-4550
Address
310 RACETRACK RD NW STE 100
Enumeration Date
15 August 2005
Last Update Date
13 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
8508894550
Graduation Year
1998 (28 years ago)
PAC ID
7416938493
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20070926000041
Address ID
FL325471553FO310XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for DR. JASON REDWOOD BOOLE (M.D.)

  • 100, Racetrack Road Northwest, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325471553

    Phone: (850) 889-4550

    Fax: (850) 889-4549

    Type: Location

  • 310, Racetrack Road Northwest, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325471553

    Phone: (850) 889-4550

    Fax: (850) 807-5217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,641.

Total Amount is formed as General ($1,641) + Research ($0) + Ownership ($0) = $1,641.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($631).

Total Amount

$1,641

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2007-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070926000041IOtolaryngologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract2,34239$0
99213Established patient office or other outpatient visit, 20-29 minutes1,090803$0
99214Established patient office or other outpatient visit, 30-39 minutes942688$0
31231Diagnostic exam of nasal passages using an endoscope578494$0
69210Removal of impacted ear wax427328$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Provider's Procedures

DR. JASON REDWOOD BOOLE (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL95004Injection of allergenic extracts into skin, accessed through the skin98618

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL
Physical Therapist In Private PracticeFL

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Frequently asked questions

Is DR. JASON REDWOOD BOOLE (M.D.) listed with a National Provider Identifier?
Yes — DR. JASON REDWOOD BOOLE (M.D.) has NPI 1104818350 on file in the registry.
Is DR. JASON REDWOOD BOOLE (M.D.) still an active registrant?
DR. JASON REDWOOD BOOLE (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. JASON REDWOOD BOOLE (M.D.)?
DR. JASON REDWOOD BOOLE (M.D.)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JASON REDWOOD BOOLE (M.D.)?
Directory geography for DR. JASON REDWOOD BOOLE (M.D.) centers on Fort Walton Beach, Florida.
Can I trust this NPI listing for DR. JASON REDWOOD BOOLE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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