BENJAMIN BOOTHBY – Orthopaedic Surgery Physician, NPI 1972964013

BENJAMIN BOOTHBY is a healthcare provider. based in Sylvania, Ohio. specializing in ORTHOPEDIC SURGERY. They hold a License No. 34.015299 (OH). The NPI Number for BENJAMIN BOOTHBY is 1972964013

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN BOOTHBY
NPI
1972964013
Phone
(419) 517-8178
Address
7640 Sylvania Ave Ste B
Enumeration Date
17 March 2016
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192516784
Graduation Year
2016 (10 years ago)
PAC ID
4082906979
Group Practice PAC ID
1951707884
Professional Enrollment ID
I20210809002198
Address ID
OH436082625TO2409XSTXX302
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for BENJAMIN BOOTHBY

  • 7640 Sylvania Ave Ste B

    Sylvania, OH 435609263

    Phone: (419) 517-8178

    Fax: (419) 517-8188

    Type: Location

  • 12623 Eckel Junction Rd Ste 2600

    Perrysburg, OH 435511304

    Phone: (419) 442-0222

    Fax: (567) 368-1479

    Type: Location

  • Mercy Saint Vincent Medical Center, 2213, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States

    TOLEDO, OH 43608

    Phone: (419) 251-6553

    Fax: (418) 251-9672

    Type: Mailing

  • 2409 CHERRY ST STE 10

    TOLEDO, OH 436082625

    Phone:

    Type: Mailing

NPPES updates history

  • ProviderUpdated
    May 27, 2026

    Fields: Last update date, Certification date

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $11,248.

Total Amount is formed as General ($11,248) + Research ($0) + Ownership ($0) = $11,248.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($5,297).

Total Amount

$11,248

General + Research + Ownership

Payments

79

Total payment records

General Amount

$11,248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

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: 2021-08-09

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
I20210809002198IOrthopedic SurgeryOHTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5452$0
99213Established patient office or other outpatient visit, 20-29 minutes4436$0
73552X-ray of thigh bone, minimum 2 views4423$0
99214Established patient office or other outpatient visit, 30-39 minutes3931$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 43560)

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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: 1951707884View full group profile
NameSpecialtyState
U R O L O G YOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Cardiovascular Disease (Cardiology)NY
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Orthopedic SurgeryOH
Nurse PractitionerOH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

What is the registry number for BENJAMIN BOOTHBY?
The registry entry for BENJAMIN BOOTHBY shows NPI 1972964013.
Is BENJAMIN BOOTHBY's NPI status active today?
Active status means BENJAMIN BOOTHBY's NPI record is not deactivated in the public file.
What type of care does BENJAMIN BOOTHBY provide?
BENJAMIN BOOTHBY's profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BENJAMIN BOOTHBY?
BENJAMIN BOOTHBY shows a connection to Sylvania, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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