Active NPI 1558387696 Individual Practitioner Male Practitioner

Dr. Keley John Booth , MD

Anesthesiology • Oklahoma City, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keley Booth, MD is a certified Anesthesiology practicing in Oklahoma City, OK. With approximately 24 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2002, Dr. Booth delivers high-quality medical care to the local community at 4401 S WESTERN AVE.

Dr. Booth is affiliated with Elite Pain And Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, testing for presence of drug, by chemistry analyzers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4401 S Western Ave

Oklahoma City, OK 731093413

Telephone 9186649892

Fax 9186642521

Associated Practice Facility / Clinic

🏢 Ismc Surgical Associates Facility NPI 1912936048

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Oklahoma City, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +3.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

373 Specialists

Practicing in Oklahoma City, OK (640 Statewide)

Telehealth Adoption Rate

0.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Booth (24 Years) 24 Yrs

Oklahoma City Specialty Average (20.2 Years) 20.2 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,550	106	$5.00	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	186	41	$10.00	$0.97
80307 Testing for presence of drug, by chemistry analyzers	180	123	$135.00	$59.77
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	156	106	$520.00	$235.00
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	109	67	$741.14	$232.33
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	104	64	$385.00	$120.56
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	99	67	$559.60	$268.67
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	82	70	$1606.41	$565.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	53	$359.00	$117.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$550.00	$155.11
99213 Established patient office or other outpatient visit, typically 15 minutes	47	31	$243.00	$70.22
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	34	19	$621.00	$167.43
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	34	19	$312.00	$85.13
62323 Injection of substance into lower spine canal using imaging guidance	30	25	$795.00	$232.18
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	30	22	$1418.77	$383.61
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	27	20	$628.89	$226.51
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	24	24	$400.00	$194.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,526	122	$5.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	519	94	$10.00	$1.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	143	$359.00	$111.60
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	169	120	$520.00	$239.92
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	82	49	$561.00	$229.70
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	75	45	$286.00	$119.37
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	72	53	$554.00	$285.23
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	66	54	$1358.00	$559.58
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	64	48	$523.00	$175.11
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	42	23	$312.00	$97.98
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	42	23	$621.00	$191.62
62323 Injection of substance into lower spine canal using imaging guidance	39	34	$795.00	$235.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	37	$550.00	$155.47
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	31	16	$149.00	$57.22
80307 Testing for presence of drug, by chemistry analyzers	30	28	$135.00	$60.90
20610 Aspiration and/or injection of fluid from large joint	30	26	$203.00	$48.51
96130 Evaluation of psychological test, first hour	29	15	$293.00	$114.47
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	28	15	$175.00	$32.83
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$243.00	$83.83
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	16	$299.41	$106.79
64624 Destruction of nerve branches of knee using imaging guidance	19	13	$1140.00	$352.73
77002 Fluoroscopic guidance for needle placement	18	18	$300.00	$94.62
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	16	11	$610.00	$268.77
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	15	15	$600.00	$241.23
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	14	11	$1373.00	$469.98
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	13	12	$713.00	$224.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,220	158	$5.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	748	128	$10.00	$1.13
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	133	49	$149.00	$58.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	94	$359.00	$118.57
96130 Evaluation of psychological test, first hour	117	43	$293.00	$115.41
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	107	43	$175.00	$33.69
80307 Testing for presence of drug, by chemistry analyzers	103	87	$135.00	$61.05
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	99	53	$554.00	$243.69
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	96	61	$561.00	$235.74
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	93	60	$286.00	$122.90
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	90	76	$520.00	$241.22
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	84	63	$523.00	$182.94
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	60	53	$1358.00	$549.90
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	58	34	$621.00	$202.22
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	57	34	$312.00	$102.26
62323 Injection of substance into lower spine canal using imaging guidance	49	43	$795.00	$234.16
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	45	31	$304.00	$100.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$555.65	$155.34
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	32	18	$610.00	$239.83
20610 Aspiration and/or injection of fluid from large joint	28	21	$203.00	$59.73
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	26	21	$713.00	$227.13
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	25	18	$1373.00	$420.68
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	21	$200.00	$54.38
76881 Complete ultrasound of joint of arm or leg	22	20	$291.00	$54.36
64624 Destruction of nerve branches of knee using imaging guidance	21	16	$1140.00	$374.70
77002 Fluoroscopic guidance for needle placement	19	14	$300.00	$107.54
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	18	16	$600.00	$238.34
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$243.00	$77.50
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	13	11	$290.00	$105.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,764	113	$5.00	$0.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	684	115	$10.00	$1.26
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	525	11	$30.00	$14.64
80307 Testing for presence of drug, by chemistry analyzers	493	243	$135.00	$61.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	169	$359.00	$118.03
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	111	34	$554.00	$162.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$550.00	$154.61
62323 Injection of substance into lower spine canal using imaging guidance	62	44	$795.00	$248.20
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	60	49	$523.00	$194.16
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	53	36	$561.00	$229.80
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	51	35	$286.00	$117.62
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	42	34	$1358.00	$473.97
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	39	32	$304.00	$103.72
76881 Complete ultrasound of joint of arm or leg	31	27	$281.61	$60.34
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	30	24	$621.00	$198.69
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$243.00	$86.52
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	27	22	$312.00	$97.07
20610 Aspiration and/or injection of fluid from large joint	26	22	$203.00	$64.70
77002 Fluoroscopic guidance for needle placement	25	21	$300.00	$106.90
99441 Telephone medical discussion with physician, 5-10 minutes	18	13	$130.00	$52.84
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	14	11	$713.00	$240.94
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	12	12	$600.00	$267.96
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	12	11	$174.17	$52.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$200.00	$54.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$694.00	$211.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,176	77	$5.00	$0.12
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	775	15	$30.00	$16.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	520	87	$10.00	$1.42
80307 Testing for presence of drug, by chemistry analyzers	460	188	$135.00	$61.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	135	$359.00	$101.26
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	79	57	$523.00	$191.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$550.00	$157.63
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	66	22	$554.00	$161.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	46	31	$304.00	$97.78
20610 Aspiration and/or injection of fluid from large joint	33	19	$203.00	$41.01
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	29	22	$1358.00	$431.55
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	24	18	$621.00	$213.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$694.00	$199.42
62323 Injection of substance into lower spine canal using imaging guidance	23	18	$795.00	$230.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$484.00	$134.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	17	$200.00	$54.36
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	21	16	$312.00	$107.76
64492 Injections of upper or middle spine facet joint using imaging guidance	20	16	$313.00	$107.00
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$243.00	$71.40
76881 Complete ultrasound of joint of arm or leg	16	15	$291.00	$72.43
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	15	15	$286.00	$109.31
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	15	15	$561.00	$194.56
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	13	13	$287.00	$102.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	15,960	23	$2.95	$2.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,100	121	$5.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,095	291	$359.00	$100.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,010	157	$10.00	$1.58
80307 Testing for presence of drug, by chemistry analyzers	481	206	$135.00	$62.86
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	111	37	$554.00	$159.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$550.00	$153.51
20610 Aspiration and/or injection of fluid from large joint	91	62	$195.40	$51.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	90	49	$300.43	$97.26
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	71	52	$513.83	$177.51
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	57	47	$561.00	$202.88
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	57	47	$286.00	$107.25
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	56	37	$1358.00	$390.37
62323 Injection of substance into lower spine canal using imaging guidance	54	40	$782.59	$228.76
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	54	45	$287.00	$106.31
64450 Injection of anesthetic agent, other peripheral nerve or branch	46	18	$360.67	$52.65
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$243.00	$69.51
77002 Fluoroscopic guidance for needle placement	38	30	$300.00	$92.58
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	36	27	$614.86	$215.95
J1885 Injection, ketorolac tromethamine, per 15 mg	33	15	$24.00	$0.51
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	32	11	$610.00	$174.08
64492 Injections of upper or middle spine facet joint using imaging guidance	32	25	$309.47	$108.30
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	32	25	$308.50	$107.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	18	$200.00	$53.55
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	25	17	$190.00	$49.62
80305 Testing for presence of drug, read by direct observation	19	14	$39.00	$11.76
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	17	11	$1373.00	$391.25
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	17	15	$698.47	$231.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$484.00	$131.65
20553 Injection of trigger points, 3 or more muscles	16	11	$212.00	$49.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,728	14	$2.95	$2.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,877	123	$5.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,428	335	$359.00	$98.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,081	163	$10.00	$1.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	244	244	$550.00	$151.60
80307 Testing for presence of drug, by chemistry analyzers	236	167	$135.00	$69.84
80305 Testing for presence of drug, read by direct observation	186	141	$39.00	$12.95
20610 Aspiration and/or injection of fluid from large joint	105	63	$201.51	$52.17
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	97	77	$523.00	$175.18
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	90	35	$554.00	$151.44
99213 Established patient office or other outpatient visit, typically 15 minutes	70	58	$243.00	$67.00
64450 Injection of anesthetic agent, other peripheral nerve or branch	66	26	$242.24	$54.99
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	63	54	$561.00	$192.35
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	60	51	$286.00	$99.58
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	57	49	$287.00	$100.65
20553 Injection of trigger points, 3 or more muscles	54	50	$212.00	$37.40
62323 Injection of substance into lower spine canal using imaging guidance	50	40	$795.00	$217.42
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	47	36	$1358.00	$359.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	39	$200.00	$54.24
77002 Fluoroscopic guidance for needle placement	41	30	$300.00	$84.06
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	32	27	$713.00	$204.05
64640 Destruction of peripheral nerve or branch	30	11	$434.00	$86.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	25	$165.00	$45.80
20610 Aspiration and/or injection of fluid from large joint	24	18	$190.92	$47.32
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	19	17	$290.00	$84.32
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	17	12	$621.00	$202.74
62327 Insertion of indwelling catheter and administration of substance into spinal canal of lower back lower back using imaging guidance	14	11	$736.00	$203.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,153	154	$8.36	$1.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	587	185	$309.29	$99.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg	494	42	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	264	114	$177.30	$68.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$436.48	$151.61
20553 Injection of trigger points, 3 or more muscles	142	91	$167.32	$31.11
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	135	90	$244.07	$55.45
64450 Injection of anesthetic agent, other peripheral nerve or branch	75	25	$169.83	$50.05
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	66	51	$437.44	$208.82
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	64	50	$222.55	$108.71
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	64	50	$222.58	$108.93
62323 Injection of substance into lower spine canal using imaging guidance	52	36	$659.48	$213.18
20610 Aspiration and/or injection of fluid from large joint	52	39	$169.73	$47.96
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	50	40	$400.24	$187.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$271.12	$99.77
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	48	33	$139.27	$44.80
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	47	17	$499.57	$149.92
64640 Destruction of peripheral nerve or branch	38	11	$363.08	$85.88
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	26	20	$500.23	$238.05
80305 Testing for presence of drug, read by direct observation	26	26	$41.88	$14.66
64492 Injections of upper or middle spine facet joint using imaging guidance	25	19	$253.36	$121.04
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	25	19	$252.88	$120.61
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	25	18	$1185.24	$354.65
77002 Fluoroscopic guidance for needle placement	25	23	$236.00	$78.32
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	21	18	$616.10	$197.75
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	19	15	$240.00	$78.29
62321 Injection of substance into middle or upper spine canal using imaging guidance	15	12	$646.80	$227.21

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OK 22940

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200087480A (OK)

Commercial Insurance / Payer ID Medicare

433243ZPYY (TX)

Hospital & Practice Group Affiliations

Elite Pain And Health Pc

1010 S Santa Fe Ave, Moore, OK 731602435

Phone: 8007811220

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Judith Wolfstein , MD

Radiology - Diagnostic Radiology

NPI 1013914456

Doctor of Medicine (M.D.)

Dr. Lauren Fitzgerald , MD

Anesthesiology

NPI 1023293933

Doctor of Medicine (M.D.)

Dr. Jonathan Friend , MD

Anesthesiology

NPI 1043205453

Doctor of Medicine (M.D.)

Dr. Christos Vassiliou , DO

Radiology - Diagnostic Radiology

NPI 1053567784

Doctor of Osteopathic Medicine (D.O.)

Barbara Markert , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073696043

Certified Registered Nurse Anesthetist

Dr. Laura Arrowsmith , DO

Radiology - Diagnostic Radiology

NPI 1083654800

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2015

Registered at 4401 S WESTERN AVE, OKLAHOMA CITY, OK 731093413 (Tel: 9186649892)

📍

Updated Business Mailing Address December 07, 2015

Registered at PO BOX 6491, NORMAN, OK 730706491 (Tel: 4059478585)

👤

Provider Name / Credentials Updated December 07, 2015

Recorded as KELEY BOOTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2015

Anesthesiology (License #22940 in OK)

🟢

Initial NPI Registration & Enumeration July 14, 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: 1558387696

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: December 07, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 6491

Norman, OK 730706491

Phone: 4059478585

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.