DR. ROBERT L JR. BOOTH (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1023016649
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
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Provider Addresses for DR. ROBERT L JR. BOOTH (M.D.)
Glendale Avenue, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436142426
Phone: (419) 383-3472
Fax: (419) 383-6130
Type: Mailing
3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436142595
Phone: (419) 383-3472
Fax: (419) 383-6130
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-02-11
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 |
|---|---|---|---|---|
| I20050211000709 | I | Pathology | OH | 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 |
|---|---|---|---|---|
| 84165 | Protein measurement, serum | 143 | 109 | $0 |
| 84166 | Protein measurement, body fluid | 46 | 41 | $0 |
| 85060 | Blood smear interpretation by physician with written report | 40 | 39 | $0 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 32 | 28 | $0 |
Insurance plans in this area (ZIP 43614)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OH | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 38 | 36 |
| PATHOLOGY | OH | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 55 | 46 |
| PATHOLOGY | OH | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 19 | 12 |
| PATHOLOGY | OH | 88342 | Tissue or cell analysis by immunologic technique | 84 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| General Surgery, Critical Care (Intensivists) | MI | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| General Surgery | ME | |
| Vascular Surgery, General Surgery | MN | |
| - | OH | |
| - | OH |
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