Active NPI 1265495139 Individual Practitioner Male Practitioner

Dr. Keith B Boone , MD

Surgery • Fresno, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keith Boone, MD is a certified Surgery practicing in Fresno, CA. With approximately 38 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1988, Dr. Boone delivers high-quality medical care to the local community at 205 E RIVER PARK CIR.

Dr. Boone is affiliated with Community Health Partners and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 E River Park Cir
Suite 460

Fresno, CA 937201571

Telephone 5592614500

Associated Practice Facility / Clinic

🏢 Advanced Laparoscopic Surgery Associates Medical Group Inc Facility NPI 1114980034

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

73 Specialists

Practicing in Fresno, CA (3346 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boone (38 Years) 38 Yrs

Fresno Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	67	$252.87	$79.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$308.82	$95.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$157.84	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$353.25	$108.42
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$158.93	$49.81
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$199.46	$48.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	85	$218.37	$72.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	69	$306.92	$109.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$427.88	$138.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$142.14	$41.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$286.63	$95.82
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	16	16	$3528.89	$1387.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	105	$277.12	$79.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	66	$172.09	$44.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$391.70	$107.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$492.39	$140.67
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$405.00	$108.32
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$286.00	$79.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$345.14	$100.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	119	108	$356.89	$136.25
99442 Telephone medical discussion with physician, 11-20 minutes	108	92	$258.17	$95.91
99213 Established patient office or other outpatient visit, typically 15 minutes	72	63	$237.49	$92.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$308.82	$131.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$453.86	$174.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	112	96	$154.64	$113.12
99442 Telephone medical discussion with physician, 11-20 minutes	80	71	$106.88	$78.62
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	34	34	$46.12	$15.21
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$192.00	$74.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$282.00	$107.47
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	15	15	$3903.00	$1289.33
43644 Bypass operation of stomach using an endoscope	12	12	$10540.00	$1799.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	130	$283.17	$107.99
99213 Established patient office or other outpatient visit, typically 15 minutes	115	95	$192.00	$72.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$427.00	$164.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$283.23	$111.35
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	17	17	$8970.00	$958.45
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	16	16	$3903.00	$1398.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	182	$192.00	$72.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	114	$282.00	$108.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$425.44	$161.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$282.00	$110.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$900.00	$82.73
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$3694.42	$1238.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	178	$141.97	$73.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	78	$210.43	$105.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$314.10	$163.19
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$900.00	$71.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$218.16	$111.05
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	20	20	$3527.55	$1210.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G68568

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License CA G68568

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Hospital & Practice Group Affiliations

Community Health Partners

205 E River Park Cir, Fresno, CA 937201585

Phone: 5592614500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Donald Lewis , MD

Specialist

NPI 1033295282

Doctor of Medicine (M.D.)

Dr. Wai Lee , MD

Colon & Rectal Surgery

NPI 1053334748

Doctor of Medicine (M.D.)

Dr. Pearl Ma , MD

Surgery

NPI 1073815767

Doctor of Medicine (M.D.)

Katherine Smith , CDE, NP

Nurse Practitioner

NPI 1083725428

Certified Diabetes Educator, Nurse Practitioner

Julie Carlock , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1174910020

Dr. Kelvin Higa , MD

Surgery

NPI 1356304224

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2014

Registered at 205 E RIVER PARK CIR, SUITE 460, FRESNO, CA 937201571 (Tel: 5592614500)

📍

Updated Business Mailing Address March 10, 2014

Registered at PO BOX 28947, FRESNO, CA 937298947 (Tel: 5592285448)

👤

Provider Name / Credentials Updated March 10, 2014

Recorded as KEITH BOONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Internal Medicine (License #G68568 in CA)

🟢

Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265495139

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 10, 2006

Last Update: March 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 28947

Fresno, CA 937298947

Phone: 5592285448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.