Provider Type Icon

DR. MICHAEL H BOOTHBY M.D. NPI 1669419743


NPI Information

NPI: 1669419743
Provider Name: DR. MICHAEL H BOOTHBY, M.D.
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
2901 ACME BRICK PLZ
FORT WORTH, TX
ZIP 76109
Phone: (817) 529-1900
Get Directions

DR. Michael H Boothby, M.D. is a sports medicine orthopaedic surgery in Fort Worth, TX with 24 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DR. Michael H Boothby, M.D. NPI is 1669419743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2000

The provider's business location address is:

2901 ACME BRICK PLZ
FORT WORTH, TX
ZIP 76109-124
Phone: (817) 529-1900
Fax: (817) 529-1910

The NPI 1669419743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)
  • Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Evaluation of occupational therapy, typically 45 minutes (HCPCS:97166)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Repair of knee joint (HCPCS:27447)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineM1030TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01010705OTHERTEXASMEDICARE RAILROAD
2182488002MEDICAIDTEXAS
38V9720OTHERBCBS INDIVIDUAL #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.