DR. HOLLY RENEE BOOTH (O.D.) – Optometrist, NPI 1194749473

DR. HOLLY RENEE BOOTH (O.D.) is a healthcare provider. based in Middlesboro, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1673DT (KY). The NPI Number for DR. HOLLY RENEE BOOTH (O.D.) is 1194749473

Main info

Female
20 Years Of Experience
Name
DR. HOLLY RENEE BOOTH (O.D.)
NPI
1194749473
Phone
(606) 248-0932
Address
1502 CUMBERLAND AVE
Enumeration Date
27 July 2006
Last Update Date
16 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485282116
Graduation Year
2006 (20 years ago)
PAC ID
1759381684
Group Practice PAC ID
7911923800
Professional Enrollment ID
I20061228000002
Address ID
KY402071681LO4350XRDXX314
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Loading map...

Provider Addresses for DR. HOLLY RENEE BOOTH (O.D.)

  • Cumberland Avenue, Middlesboro, Middlesborough, Bell County, Kentucky, 40965, United States of America

    MIDDLESBORO, KY 409651223

    Phone: (606) 248-0932

    Fax: (606) 248-1384

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($36).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061228000002IOptometryKYTBD
I20200716001642IOptometryTNTBD

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
92014Established patient complete exam of visual system285245$0
92004New patient complete exam of visual system190190$0
92250Photography of the retina164164$0
99213Established patient office or other outpatient visit, 20-29 minutes12271$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8865$0
View full utilization report →

Insurance plans in this area (ZIP 40965)

Loading plans...

Provider's Procedures

DR. HOLLY RENEE BOOTH (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKY92134Diagnostic imaging of retina2019

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: 7911923800View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. HOLLY RENEE BOOTH (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. HOLLY RENEE BOOTH (O.D.) with NPI 1194749473.
Can I rely on DR. HOLLY RENEE BOOTH (O.D.) being an active provider?
As of the registry snapshot, DR. HOLLY RENEE BOOTH (O.D.) is marked active.
What healthcare role does DR. HOLLY RENEE BOOTH (O.D.) hold?
Scheduling teams often label DR. HOLLY RENEE BOOTH (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. HOLLY RENEE BOOTH (O.D.) on a map?
Expect Middlesboro, Kentucky as a primary anchor for DR. HOLLY RENEE BOOTH (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

PO BOX 979
NPI: 1124024302
2131 Cumberland Ave
NPI: 1164402590
2145 US HIGHWAY 25 E
NPI: 1841376480
2960 MILLER PLACE WAY
NPI: 1568515674
1403 CUMBERLAND AVE
NPI: 1104952928
1507 US HIGHWAY 25 E
NPI: 1649309808

LEE CAIN OD

Optometrist
2145 US HIGHWAY 25 E
NPI: 1144407370
Cumberland Avenue, Middlesboro, Middlesborough, Bell County, Kentucky, 40965, United States
NPI: 1154583185