DR. JOHN LUTHER BOONE (M.D.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1609035781

DR. JOHN LUTHER BOONE (M.D.) is a healthcare provider. based in Savage, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 56270 (MN). The NPI Number for DR. JOHN LUTHER BOONE (M.D.) is 1609035781

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN LUTHER BOONE (M.D.)
NPI
1609035781
Phone
(952) 395-2500
Address
14020 HWY 13 S STE 350
Enumeration Date
4 June 2008
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9523952500
Graduation Year
2013 (13 years ago)
PAC ID
7113168691
Group Practice PAC ID
1658754015
Professional Enrollment ID
I20130725000545
Address ID
MN553787103SA14020SXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

Provider Addresses for DR. JOHN LUTHER BOONE (M.D.)

  • 14020 HWY 13 S STE 350

    SAVAGE, MN 553787103

    Phone: (952) 395-2500

    Type: Mailing

  • 7864 Century Blvd

    Chanhassen, MN 553178005

    Phone: (952) 395-2500

    Type: Location

  • France Avenue South, 44th and France, Edina, Hennepin County, Minnesota, 55431, United States

    EDINA, MN 554352187

    Phone: (952) 920-4595

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $330.

Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($86).

Total Amount

$330

General + Research + Ownership

Payments

13

Total payment records

General Amount

$330

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2013-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1044 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20130725000545IOtolaryngologyMN2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99203New patient office or other outpatient visit, 30-44 minutes7070$0
99213Established patient office or other outpatient visit, 20-29 minutes4633$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
99214Established patient office or other outpatient visit, 30-39 minutes3525$0
31231Diagnostic exam of nasal passages using an endoscope2615$0
View full utilization report →

Insurance plans in this area (ZIP 55378)

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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: 1658754015View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Physician AssistantMN
A L L E R G Y/ I M M U N O L O G YMN
Qualified AudiologistMN
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is there an official ID for DR. JOHN LUTHER BOONE (M.D.) in U.S. healthcare records?
The official identifier for DR. JOHN LUTHER BOONE (M.D.) is NPI 1609035781.
Is DR. JOHN LUTHER BOONE (M.D.) still an active registrant?
DR. JOHN LUTHER BOONE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JOHN LUTHER BOONE (M.D.)'s focus?
For DR. JOHN LUTHER BOONE (M.D.), the primary taxonomy reads as Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOHN LUTHER BOONE (M.D.)?
Directory geography for DR. JOHN LUTHER BOONE (M.D.) centers on Savage, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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