DR. MICHAEL H BOOTHBY M.D. NPI 1669419743

NPI Information

  • NPI: 1669419743
  • Provider Name: DR. MICHAEL H BOOTHBY, M.D.
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2901 ACME BRICK PLZ
    FORT WORTH, TX
    ZIP 76109
  • Phone: (817) 529-1900

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NPI Details

DR. Michael H Boothby, M.D. is a sports medicine orthopaedic surgery in Fort Worth, TX with 26 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.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Therapy procedure using water pool to exercises, each 15 minutes (HCPCS:97113)
  • Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Application of whirlpool therapy (HCPCS:97022)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Evaluation for occupational therapy, typically 45 minutes (HCPCS:97166)
  • Therapy procedure for walking training, each 15 minutes (HCPCS:97116)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of both knees while standing (HCPCS:73565)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of joint lining from multiple knee joint compartments using an endoscope (HCPCS:29876)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Evaluation for physical therapy, typically 45 minutes (HCPCS:97163)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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