DR. SALLY A BOOTH (MD) – Dermatology Physician, NPI 1669452884
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
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Provider Addresses for DR. SALLY A BOOTH (MD)
US - 421, Carmel, Hamilton County, Indiana, 46032, United States
ZIONSVILLE, IN 460778782
Phone: (317) 848-2427
Fax: (317) 848-2434
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $1,895.
Total Amount is formed as General ($1,895) + Research ($0) + Ownership ($0) = $1,895.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($375).
Total Amount
$1,895
General + Research + Ownership
Payments
96
Total payment records
General Amount
$1,895
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $375 |
| ABBVIE INC. | $338 |
| Janssen Biotech, Inc. | $311 |
| E.R. Squibb & Sons, L.L.C. | $176 |
| Merz North America, Inc. | $123 |
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: 2005-08-09
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 |
|---|---|---|---|---|
| I20050809000616 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,715 | 264 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 996 | 47 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 933 | 45 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 913 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 562 | 363 | $0 |
Insurance plans in this area (ZIP 46077)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IN | 11101 | Biopsy of each additional growth of skin and/or tissue | 62 | 54 |
| DERMATOLOGY | IN | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 22 | 20 |
| DERMATOLOGY | IN | 17003 | Destruction of 2-14 skin growths | 1432 | 194 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN |
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