SARAH YORK BOOSTROM (MD) – Colon & Rectal Surgery Physician, NPI 1336269018
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
229 COLORECTAL SURGERY (PROCTOLOGY) in TX
Provider Addresses for SARAH YORK BOOSTROM (MD)
3410 WORTH ST
SUITE 235
DALLAS, TX 752462003
Phone: (214) 820-8768
Fax: (214) 820-8769
Type: Mailing
13136 Dallas Pkwy Ste 530
Frisco, TX 750334247
Phone: (972) 612-0430
Fax: (844) 585-6193
Type: Location
1705 OHIO DR STE 100
PLANO, TX 750935256
Phone: (972) 612-0430
Fax: (844) 585-6193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,045.
Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($999).
Total Amount
$1,045
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,045
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $999 |
| Integra LifeSciences Corporation | $27 |
| Braintree Laboratories, Inc. | $19 |
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: 2013-12-10
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 |
|---|---|---|---|---|
| I20131210001797 | I | Colorectal Surgery (Proctology) | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 111 | 111 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 36 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 30 | $0 |
Insurance plans in this area (ZIP 75246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
Reviews
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