DWAYNE ANDREW BOOTH (DPM) – Podiatrist, NPI 1427110022

DWAYNE ANDREW BOOTH (DPM) is a healthcare provider. based in Riverton, Wyoming. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 108 (WY). The NPI Number for DWAYNE ANDREW BOOTH (DPM) is 1427110022

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DWAYNE ANDREW BOOTH (DPM)
NPI
1427110022
Phone
(307) 856-3610
Address
238 RAILWAY PLAZA
Enumeration Date
14 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3078563610
Graduation Year
1995 (31 years ago)
PAC ID
9335178730
Professional Enrollment ID
I20100824000136
Address ID
WY825013556RI238XXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

17 PODIATRY in WY

Provider Addresses for DWAYNE ANDREW BOOTH (DPM)

  • 238 RAILWAY PLAZA

    RIVERTON, WY 82501

    Phone: (307) 856-3610

    Fax: (307) 856-5044

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050805000597IPodiatryTXTBD
I20100824000136IPodiatryWYTBD

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
11721Removal of fingernails or toenails, 6 or more nails385151$0
99202New patient office or other outpatient visit, 15-29 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 82501)

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Reviews

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Frequently asked questions

What is the registry number for DWAYNE ANDREW BOOTH (DPM)?
The registry entry for DWAYNE ANDREW BOOTH (DPM) shows NPI 1427110022.
Should I treat DWAYNE ANDREW BOOTH (DPM) as an active provider?
Patients and plans typically see DWAYNE ANDREW BOOTH (DPM) as active in the national extract.
What type of care does DWAYNE ANDREW BOOTH (DPM) provide?
DWAYNE ANDREW BOOTH (DPM)'s profile centers on Podiatrist. Clinical services aligned with this taxonomy classification.
Is DWAYNE ANDREW BOOTH (DPM) tied to Riverton, Wyoming?
If you are local to Riverton, Wyoming, DWAYNE ANDREW BOOTH (DPM) may be relevant to your search.
Can I export DWAYNE ANDREW BOOTH (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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