DR. MICHAEL H BOOTHBY (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1669419743
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
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Provider Addresses for DR. MICHAEL H BOOTHBY (M.D.)
Acme Brick Plaza, Fort Worth, Tarrant County, Texas, 76109, United States
FORT WORTH, TX 761094124
Phone: (817) 529-1900
Fax: (817) 529-1910
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 3 Open Payments records for all available years, with a total value of $10,067.
Total Amount is formed as General ($10,067) + Research ($0) + Ownership ($0) = $10,067.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Shalby Advanced Technologies, Inc. ($10,000).
Total Amount
$10,067
General + Research + Ownership
Payments
3
Total payment records
General Amount
$10,067
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shalby Advanced Technologies, Inc. | $10,000 |
| STERIS CORPORATION | $43 |
| Innovation Technologies Inc | $25 |
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000437 | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 13,326 | 424 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 7,285 | 389 | $0 |
| J7331 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | 2,211 | 42 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,618 | 160 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 861 | 150 | $0 |
Insurance plans in this area (ZIP 76109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 67 | 54 |
| ORTHOPEDIC SURGERY | TX | 27447 | Repair of knee joint | 37 | 36 |
| ORTHOPEDIC SURGERY | TX | 73562 | X-ray of knee, 3 views | 43 | 38 |
| ORTHOPEDIC SURGERY | TX | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 9994 | 379 |
| ORTHOPEDIC SURGERY | TX | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 6603 | 363 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| P O D I A T R Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX |
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