DAVID BOOTY JR. DOHERTY – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1528333770
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for DAVID BOOTY JR. DOHERTY
601 Rockmead Dr Ste 100
Kingwood, TX 773392107
Phone: (713) 486-7400
Fax: (713) 359-2816
Type: Location
6400 FANNIN ST STE 1700
HOUSTON, TX 770301526
Phone: (713) 486-7500
Fax: (713) 512-2234
Type: Mailing
5420 WEST LOOP S STE 2400
BELLAIRE, TX 774012118
Phone: (713) 486-3550
Fax: (713) 314-2990
Type: Location
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 $1,854.
Total Amount is formed as General ($1,854) + Research ($0) + Ownership ($0) = $1,854.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Stryker Corporation ($1,564).
Total Amount
$1,854
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,854
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,564 |
| Becton, Dickinson and Company | $182 |
| Medtronic, Inc. | $88 |
| Smith+Nephew, Inc. | $20 |
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: 2019-10-23
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 |
|---|---|---|---|---|
| I20191023001941 | I | Orthopedic Surgery | 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 | 344 | 31 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 158 | 50 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 152 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 125 | $0 |
| 73564 | X-ray of knee, 4 or more views | 120 | 83 | $0 |
Insurance plans in this area (ZIP 77339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Anesthesiology, Critical Care (Intensivists) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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