MR. TERRY W BOONE (PAC) – Medical Physician Assistant, NPI 1649430778

MR. TERRY W BOONE (PAC) is a healthcare provider. based in Salem, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA1128 (KY). The NPI Number for MR. TERRY W BOONE (PAC) is 1649430778

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. TERRY W BOONE (PAC)
NPI
1649430778
Phone
(270) 988-3298
Address
141 Hospital Dr Ste 102
Enumeration Date
12 June 2008
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2709654377
Graduation Year
2008 (18 years ago)
PAC ID
7113085762
Group Practice PAC ID
8426965278
Professional Enrollment ID
I20081027000017
Address ID
KY420641545MA308XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MR. TERRY W BOONE (PAC)

  • 141 Hospital Dr Ste 102

    Salem, KY 420788043

    Phone: (270) 988-3298

    Fax: (270) 988-4642

    Type: Location

  • Hospital Drive, Salem, Livingston County, Kentucky, 42078, United States

    SALEM, KY 420788043

    Phone: (270) 988-3298

    Fax: (270) 988-4642

    Type: Location

  • PO BOX 347

    SALEM, KY 420780347

    Phone: (270) 988-3298

    Fax: (270) 988-4642

    Type: Mailing

  • 308 S MAIN ST

    MARION, KY 420641545

    Phone: (270) 965-4377

    Fax: (270) 965-9569

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
ITI, Inc.$16
PFIZER INC.$16
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: 2008-10-27

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
I20081027000017IPhysician AssistantKYTBD

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
85610Blood test, clotting time9412$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4326$0
83036Hemoglobin a1c level4026$0
81002Urinalysis, manual test2915$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 42078)

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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: 8426965278View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
General Practice, General SurgeryKY
Nurse PractitionerKY
Internal Medicine, General PracticeKY
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
General Surgery, General PracticeKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. TERRY W BOONE (PAC)?
MR. TERRY W BOONE (PAC) — NPI 1649430778 — is the standard way to identify this listing.
Is MR. TERRY W BOONE (PAC) listed as active for patients and plans?
The listing shows MR. TERRY W BOONE (PAC) as active in the NPI system.
What is MR. TERRY W BOONE (PAC)'s specialty?
The listing groups MR. TERRY W BOONE (PAC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. TERRY W BOONE (PAC) based?
MR. TERRY W BOONE (PAC) is tied to Salem, Kentucky in the data we show; additional addresses may exist on the full record.
Is the information about MR. TERRY W BOONE (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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