PETER BOOTHMAN (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1588018170
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
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Provider Addresses for PETER BOOTHMAN (M.D.)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Mailing
909 W 13TH AVE APT 102
SPOKANE, WA 99204
Phone:
Type: Mailing
6th Avenue South, Richmond Place, Birmingham, Jefferson County, Alabama, 35222, United States
BIRMINGHAM, AL 352332110
Phone: (205) 502-9962
Type: Location
2608 WOODFERN CT
HOMEWOOD, AL 352091704
Phone:
Type: Mailing
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 352422541
Phone: (205) 977-9876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $512.
Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($320).
Total Amount
$512
General + Research + Ownership
Payments
18
Total payment records
General Amount
$512
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $320 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $59 |
| Krystal Biotech Inc | $33 |
| UCB, Inc. | $32 |
| Amgen Inc. | $21 |
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: 2023-11-21
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 |
|---|---|---|---|---|
| I20231121000545 | I | Dermatology | ID | 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 |
|---|---|---|---|---|
| Q4132 | Grafix core and grafixpl core, per square centimeter | 241 | 19 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 105 | 23 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 80 | 66 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 41 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 37 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | MN | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID |
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