ALYSON M BOOTH (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1013903848
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
Provider Addresses for ALYSON M BOOTH (MD)
PO BOX 936
GRANDVILLE, MI 494680936
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Mailing
400 Hobart St
Cadillac, MI 496012331
Phone: (231) 876-2331
Type: Location
2990, Franklin Avenue Southwest, Grandville, Kent County, Michigan, 49418, United States
GRANDVILLE, MI 494183505
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Location
PO BOX 209
LIMA, OH 458020209
Phone: (866) 942-0836
Fax: (419) 223-2726
Type: Mailing
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone: (231) 935-6100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2006-04-24
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 |
|---|---|---|---|---|
| I20060424000287 | I | Pathology | MI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 874 | 475 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 325 | 290 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 143 | 42 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 94 | 74 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 75 | 69 | $0 |
Insurance plans in this area (ZIP 49468)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 24 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OH | |
| - | MI | |
| P A T H O L O G Y | MI | |
| - | MI | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | OH |
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