DR. KELEY JOHN BOOTH (MD) – Anesthesiology Physician, NPI 1558387696
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
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Provider Addresses for DR. KELEY JOHN BOOTH (MD)
INTEGRIS Southwest Medical Center, 4401, South Western Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73109, United States
OKLAHOMA CITY, OK 731093413
Phone: (918) 664-9892
Fax: (918) 664-2521
Type: Location
Norman Post Office, West Gray Street, Norman, Cleveland County, Oklahoma, 73069, United States
NORMAN, OK 730706491
Phone: (405) 947-8585
Fax: (405) 948-6507
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($125).
Total Amount
$291
General + Research + Ownership
Payments
15
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060916000004 | I | Interventional Pain Management | OK | TBD |
| I20150908001191 | I | Anesthesiology | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,526 | 122 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 519 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 219 | 143 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 169 | 120 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 82 | 49 | $0 |
Insurance plans in this area (ZIP 73109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK |
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