Benjamin Boone, M.D.
Rheumatology Physician · Louisville, KY
Benjamin Boone, M.D. is a rheumatology physician with a practice address in Louisville, Kentucky, and NPI 1366974826, issued on Apr 3, 2017. Check the license (Kentucky 57120, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Benjamin Boone
- Credential
- M.D.
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 57120 KY
Self-reported in NPPES; status is on the state search - Practice location
- 3430 Newburg RD Ste 250, Louisville, KY 40218
- Phone
- (502) 893-3963
- Enumerated
- Apr 3, 2017
- Record last updated
- Sep 16, 2022
- Fax
- (502) 893-2235
- Medicare enrollment
- Enrolled (PECOS I20220809000661); accepts Medicare assignment
- Medical or professional school
- Emory University School Of Medicine, 2017
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 88 in Kentucky → Look up another NPI →
Also registered at 3430 Newburg RD Ste 250
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Megan Cyterski, APRNFamily Nurse Practitioner1922650746
- Ashley Maier, NP-CFamily Nurse Practitioner1790185254
- Jacquelyn Smith, M.D.Rheumatology Physician1154769131
Verify Benjamin Boone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 57120Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
66% fewer Medicare Part D claims than the average rheumatology physician in 2024
679 Medicare Part D claims for 198 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.
Most prescribed
- Prednisone233 claims
- Methotrexate84 claims
- Hydroxychloroquine Sulfate58 claims
- Colchicine52 claims
- Allopurinol32 claims
- Methylprednisolone30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $27,167.21
244 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Rheumatology Associates, PLLCLouisville, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Benjamin Boone among 88 rheumatology physician records in Kentucky
Benjamin Boone, M.D. is one of 88 rheumatology physician records with a practice address in Kentucky. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 78% of them.
- NPI issued2017 · 78% of these records are older, 17% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2017 · median 2006 among the 71 with a school on file
- Record last updated2022 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Kentucky
There are 88 rheumatology physician records in Kentucky.
All 88 in Kentucky → Every provider in Louisville → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Gary Crump, M.D.Louisville, KY 402181285709386
- Janet Leon, M.D.Louisville, KY 402181962504613
- Paul Schneider, M.D.Louisville, KY 402181235204330
- Jacquelyn Smith, M.D.Louisville, KY 402181154769131
- Mohamed Jalloh, MDLouisville, KY 402201972008167
- Simranjit Kaur, M.B.B.S.Louisville, KY 402201912520610
- Tristan Blackburn, M.D.Louisville, KY 402071417176249
- Angelo Ciliberti, MDLouisville, KY 402071811428964
Common questions
What is Benjamin Boone, M.D.'s NPI number?
Benjamin Boone, M.D.'s National Provider Identifier (NPI) is 1366974826, issued on Apr 3, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Benjamin Boone, M.D. located?
The NPPES record lists a practice address at 3430 Newburg RD Ste 250, Louisville, KY, 40218. Phone: (502) 893-3963. Providers update this record themselves, so call before visiting.
How can I verify Benjamin Boone, M.D.'s license?
NPPES lists Kentucky license number 57120, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Benjamin Boone, M.D. prescribe under Medicare Part D?
In 2024, Benjamin Boone, M.D. had 679 Medicare Part D claims for 198 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Benjamin Boone, M.D.'s MIPS final score?
The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.