KATELYN JEAN BOOHER (D.O.) – Infectious Disease Physician, NPI 1063736056

KATELYN JEAN BOOHER (D.O.) is a healthcare provider. based in Dayton, Ohio. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 35-011518 (OH). The NPI Number for KATELYN JEAN BOOHER (D.O.) is 1063736056

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN JEAN BOOHER (D.O.)
NPI
1063736056
Phone
(937) 245-7100
Address
725 UNIVERSITY BLVD
Enumeration Date
18 March 2010
Last Update Date
29 June 2015

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9372816800
Graduation Year
2010 (16 years ago)
PAC ID
4880822881
Group Practice PAC ID
9335300904
Professional Enrollment ID
I20150831000256
Address ID
OH454174650DA721XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

417 INFECTIOUS DISEASE in OH

Provider Addresses for KATELYN JEAN BOOHER (D.O.)

  • 725 UNIVERSITY BLVD

    DAYTON, OH 454350001

    Phone: (937) 245-7100

    Fax: (937) 245-7999

    Type: Mailing

  • 1222 S PATTERSON BLVD

    STE 220

    DAYTON, OH 454022684

    Phone: (937) 223-5350

    Fax: (937) 224-3112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $2,081.

Total Amount is formed as General ($2,081) + Research ($0) + Ownership ($0) = $2,081.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($2,025).

Total Amount

$2,081

General + Research + Ownership

Payments

5

Total payment records

General Amount

$2,081

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$2,025
Gilead Sciences, Inc.$56
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: 2015-08-31

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
I20150831000256IInfectious DiseaseOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes326132$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9991$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4721$0
99214Established patient office or other outpatient visit, 30-39 minutes3517$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 45435)

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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: 9335300904View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Internal MedicineOH
Nurse PractitionerOH
Family PracticeOH
P O D I A T R YOH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

Where can patients find KATELYN JEAN BOOHER (D.O.)'s NPI?
You can confirm KATELYN JEAN BOOHER (D.O.) with NPI 1063736056; it appears in the national provider directory.
Is KATELYN JEAN BOOHER (D.O.) active in the national directory?
KATELYN JEAN BOOHER (D.O.)'s public NPI profile is in an active state.
What kind of provider is KATELYN JEAN BOOHER (D.O.)?
The page reflects Infectious Disease Physician for KATELYN JEAN BOOHER (D.O.). Clinical services aligned with this taxonomy classification.
Where is KATELYN JEAN BOOHER (D.O.)'s primary listing?
We display Dayton, Ohio because that is what the record indicates for KATELYN JEAN BOOHER (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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