Benjamin Boone, M.D.
NPI 1366974826 · Rheumatology Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Boone, M.D. is a Rheumatology Physician provider in Louisville, KY (NPI 1366974826).
Provider details
- NPI number
- 1366974826
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 57120 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,576 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 247 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 236 | $118 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 205 | $13 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 144 | $55 |
| X-Ray of Hand, 2 Views73120 | 127 | $20 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 233 | 88 |
| Methotrexate Sodiumbrand: Methotrexate | 84 | 34 |
| Hydroxychloroquine Sulfate | 58 | 29 |
| Colchicine | 52 | 26 |
| Allopurinol | 32 | 15 |
| Methylprednisolone | 30 | 19 |
| Etanerceptbrand: Enbrel Sureclick | 28 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$27,167 across 244 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2022-09-16
- Certified
- 2022-06-25
Frequently asked questions
- What is Benjamin Boone's NPI number?
- Benjamin Boone's National Provider Identifier (NPI) is 1366974826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Boone's specialty?
- Benjamin Boone is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Boone located?
- Benjamin Boone's practice location on file with NPPES is 3430 Newburg Rd Ste 250, Louisville, KY 40218-2458.
- What is Benjamin Boone's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Boone is (502) 893-3963.
- Does Benjamin Boone accept Medicare?
- Benjamin Boone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Boone's NPI active?
- Yes — Benjamin Boone's NPI (1366974826) is active in the NPPES registry as of the last update on 2022-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.