BLAKE A BOOTH (MD) – Ophthalmology Physician, NPI 1194915249

BLAKE A BOOTH (MD) is a healthcare provider. based in Oxford, Mississippi. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 21490 (MS). The NPI Number for BLAKE A BOOTH (MD) is 1194915249

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE A BOOTH (MD)
NPI
1194915249
Phone
(662) 234-6551
Address
1308 BELK BLVD
Enumeration Date
25 July 2007
Last Update Date
8 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2256180088
Graduation Year
2011 (15 years ago)
PAC ID
0446428403
Group Practice PAC ID
9335131192
Professional Enrollment ID
I20150417001473
Address ID
LA707602661NE230XXDRXX320
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

145 OPHTHALMOLOGY in MS

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Provider Addresses for BLAKE A BOOTH (MD)

  • Rayner Eye Clinic, 1308, Belk Boulevard, Oxford, Lafayette County, Mississippi, 38655, United States

    OXFORD, MS 386555302

    Phone: (662) 234-6551

    Fax: (662) 234-0468

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,069.

Total Amount is formed as General ($1,069) + Research ($0) + Ownership ($0) = $1,069.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($300).

Total Amount

$1,069

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2015-04-17

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
I20150417001473IOphthalmologyLATBD

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
92136Measurement of corneal curvature and depth of eye16888$0
92014Established patient complete exam of visual system149142$0
66984Removal of cataract with insertion of prosthetic lens14379$0
99214Established patient office or other outpatient visit, 30-39 minutes132115$0
99213Established patient office or other outpatient visit, 20-29 minutes11898$0
View full utilization report →

Insurance plans in this area (ZIP 38655)

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Provider's Procedures

BLAKE A BOOTH (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMS92012Eye and medical examination for diagnosis and treatment, established patient163119

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: 9335131192View full group profile
NameSpecialtyState
O P T O M E T R YLA
O P T O M E T R YLA
O P T O M E T R YLA
O P H T H A L M O L O G YLA
O P T O M E T R YLA
O P H T H A L M O L O G YLA
O P T O M E T R YGA
O P T O M E T R YLA
O P T O M E T R YLA
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

Is there an official ID for BLAKE A BOOTH (MD) in U.S. healthcare records?
The official identifier for BLAKE A BOOTH (MD) is NPI 1194915249.
Is BLAKE A BOOTH (MD) shown as active in public data?
Registry records indicate BLAKE A BOOTH (MD) maintains an active NPI.
How would a patient describe BLAKE A BOOTH (MD)'s focus?
For BLAKE A BOOTH (MD), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is BLAKE A BOOTH (MD) associated with Oxford?
Public fields place BLAKE A BOOTH (MD) around Oxford, Mississippi. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for BLAKE A BOOTH (MD) is noted as July 25, 2007 where the registry provides it.

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