DR. JERAD ROLAND BOOTH (DPM) – Podiatrist, NPI 1316562515

DR. JERAD ROLAND BOOTH (DPM) is a healthcare provider. based in Detroit, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400501 (MI). The NPI Number for DR. JERAD ROLAND BOOTH (DPM) is 1316562515

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
DR. JERAD ROLAND BOOTH (DPM)
NPI
1316562515
Phone
(313) 343-3423
Address
22201 MOROSS RD STE 250
Enumeration Date
12 June 2020
Last Update Date
23 May 2023

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3138213338
Graduation Year
2020 (6 years ago)
PAC ID
6507288610
Group Practice PAC ID
3173848520
Professional Enrollment ID
I20230718000760
Address ID
MI482143731DE7633XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. JERAD ROLAND BOOTH (DPM)

  • 22201 MOROSS RD STE 250

    DETROIT, MI 482362175

    Phone: (313) 343-3423

    Fax: (313) 343-3401

    Type: Mailing

  • 2007 E 14 MILE RD

    STERLING HEIGHTS, MI 483105905

    Phone: (586) 244-9699

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $3,888.

Total Amount is formed as General ($3,888) + Research ($0) + Ownership ($0) = $3,888.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ACUMED LLC ($1,567).

Total Amount

$3,888

General + Research + Ownership

Payments

48

Total payment records

General Amount

$3,888

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2023-07-18

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
I20230718000760IPodiatryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8880$0
11721Removal of fingernails or toenails, 6 or more nails7368$0
11056Removal of noncancer thickened skin growth, 2-4 growths1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 3173848520View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI

Reviews

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Frequently asked questions

What is DR. JERAD ROLAND BOOTH (DPM)'s NPI number?
DR. JERAD ROLAND BOOTH (DPM)'s NPI is 1316562515 — the number used across U.S. healthcare to identify this provider.
Is DR. JERAD ROLAND BOOTH (DPM) still an active registrant?
DR. JERAD ROLAND BOOTH (DPM) carries an active NPI according to the public dataset.
What kind of doctor is DR. JERAD ROLAND BOOTH (DPM)?
DR. JERAD ROLAND BOOTH (DPM) is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JERAD ROLAND BOOTH (DPM) registered?
Use Detroit, Michigan as the headline location for DR. JERAD ROLAND BOOTH (DPM) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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