WILLIAM DAVID JR. BOOTHE (M.D.) – Dermatology Physician, NPI 1649711904
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for WILLIAM DAVID JR. BOOTHE (M.D.)
3601 4TH ST STOP 6211
LUBBOCK, TX 79430
Phone: (806) 743-2978
Type: Location
3601 22ND ST
LUBBOCK, TX 794101399
Phone: (806) 796-7193
Fax: (806) 796-0034
Type: Location
4608 93rd St
Lubbock, TX 79424
Phone: (806) 789-0553
Type: Location
3601 4th St Stop 6211
Lubbock, TX 79430
Phone: (806) 743-2978
Type: Location
5103 98th St Ste 200
Lubbock, TX 794247784
Phone: (806) 796-7193
Fax: (806) 796-0034
Type: Location
4608, 93rd Street, Lakeridge, Lubbock, Lubbock County, Texas, 79424, United States
LUBBOCK, TX 794245012
Phone: (806) 789-0553
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: LEO Pharma Inc. ($289).
Total Amount
$289
General + Research + Ownership
Payments
12
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $289 |
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: 2025-07-25
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 |
|---|---|---|---|---|
| I20250725003173 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,311 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 578 | 441 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 391 | 391 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 363 | 311 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 259 | 221 | $0 |
Insurance plans in this area (ZIP 79430)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX |
Reviews
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