BRADFORD L BOONE (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1679573844

BRADFORD L BOONE (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 17634 (OK). The NPI Number for BRADFORD L BOONE (MD) is 1679573844

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
BRADFORD L BOONE (MD)
NPI
1679573844
Phone
(918) 927-3226
Address
2488 E 81ST ST STE 290
Enumeration Date
28 July 2005
Last Update Date
11 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9184942665
Graduation Year
1985 (41 years ago)
PAC ID
8820179559
Group Practice PAC ID
8426320912
Professional Enrollment ID
I20091202000347
Address ID
OK741374265TU2488XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

328 ORTHOPEDIC SURGERY in OK

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Provider Addresses for BRADFORD L BOONE (MD)

  • East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States

    TULSA, OK 741374299

    Phone: (918) 927-3226

    Fax: (918) 927-3193

    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 7 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Responsive Arthroscopy Inc ($143).

Total Amount

$295

General + Research + Ownership

Payments

7

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2009-12-02

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
I20091202000347IOrthopedic SurgeryOKTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg663119$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20444$0
99213Established patient office or other outpatient visit, 20-29 minutes175145$0
20610Aspiration and/or injection of fluid from large joint139121$0
73030X-ray of shoulder, minimum of 2 views11199$0
View full utilization report →

Insurance plans in this area (ZIP 74137)

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Provider's Procedures

BRADFORD L BOONE (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOK20610Aspiration and/or injection of large joint or joint capsule180151

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: 8426320912View full group profile
NameSpecialtyState
Physician AssistantOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Physical Therapist In Private PracticeOK
-OK
-TN
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

How do I look up BRADFORD L BOONE (MD) by NPI?
Use NPI 1679573844 when you need to reference BRADFORD L BOONE (MD) in forms, claims, or directories.
Is BRADFORD L BOONE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRADFORD L BOONE (MD)'s specialty in plain language?
Clinically, the directory lists BRADFORD L BOONE (MD) with Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is BRADFORD L BOONE (MD)'s primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for BRADFORD L BOONE (MD).
Is BRADFORD L BOONE (MD) a real provider?
This page reflects official NPPES data for NPI 1679573844. Always confirm identity and privileges with the practice and licensing boards.

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