2026 NPPES data Surgery Physician NPI 1265495139 MD
Verify on CMS →

Keith Boone, MD

Surgery Physician in Fresno, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
359
Medicare Part D claims · 63 beneficiaries · Surgery Physician avg: 169
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$547.83
6 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Keith Boone, MD reported a CMS MIPS final score of 84/100 - above the 83.1 national average - and filed 359 Medicare Part D claims in 2023.

84/100
MIPS score · +1 vs avg
359
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Keith Boone, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

84 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Keith Boone, MD sits

This provider among surgery physician peers

Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Keith Boone, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 44% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 7Keith Boone, MD-Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 44
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Keith Boone, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Keith Boone, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Keith Boone, MD?

Near national average

NPI registry status

Active

Issued 04/10/2006

NPI 1265495139

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

359 112% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

84/100 0.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Surgery Physician compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Surgery Physician - 0.4%Surgery Physician0.4%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Keith Boone, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
84/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) - 84/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Surgery Physician) - 84/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Keith Boone, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 205 E RIVER PARK CIR, Fresno, CA, 93720, with a listed phone of (559) 261-4500. NPI 1265495139 was issued on 04/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Boone most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 359 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $23K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84/100 for the 2023 performance year (Quality 76.3, Cost 57.9), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

205 E RIVER PARK CIR
Fresno, CA 93720

Provider Details

NPI 1265495139
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.0043
Final Score
Avg: 83.1
76.2778
Quality
57.8836
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Keith Boone, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Community Health Partners
Fresno, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Keith Boone, MD. Source: openpaymentsdata.cms.gov.

Total received

$548

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Keith Boone, MD. To verify Keith Boone, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Keith Boone, MD - brand share 13.0%
Surgery Physician average

13% brand-name claims vs 87% generic, on 359 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

359
Total Claims
$23K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
443
Total Day Supply
6,906
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$2K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
67.1 years
Avg HCC Risk Score
1.55
Gender Split
65% female / 35% male
Age Distribution
<65: 18, 65-74: 34, 75-84: 11, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Keith Boone, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
61
Omeprazole
43
Prochlorperazine Maleate
41
Gabapentin
36
Celecoxib
34
Clinisol
Parenteral Amino Acid 15% No.5
28
Ondansetron Hcl
24
Enoxaparin Sodium
17
Lactated Ringers
"Ringer's Solution
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How Keith Boone, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

Keith Boone, MD's 359 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Boone.

Compare Surgery Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Keith Boone, MD's specialty?
Keith Boone, MD specializes in Surgery Physician and practices in Fresno, California. Credentials: MD.
How much does Keith Boone, MD prescribe under Medicare Part D?
In 2023, Keith Boone, MD wrote 359 Medicare Part D claims totaling $23K in drug costs for 63 beneficiaries.
What is Keith Boone, MD's Medicare quality score?
Keith Boone, MD has a CMS MIPS Final Score of 84/100 (Quality: 76.3, Cost: 57.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Keith Boone, MD located?
Keith Boone, MD is located at 205 E RIVER PARK CIR, Fresno, CA, 93720. Phone: (559) 261-4500.
What is Keith Boone, MD's NPI number?
Keith Boone, MD's National Provider Identifier (NPI) is 1265495139, issued on 04/10/2006.
Does Keith Boone, MD prescribe more brand-name or generic drugs?
Keith Boone, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $2K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Keith Boone, MD prescribe most often?
Based on 2023 Medicare Part D data, Keith Boone, MD's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Keith Boone, MD accept Medicare?
Keith Boone, MD appears in CMS Medicare data with 359 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Keith Boone, MD's credentials?
Keith Boone, MD's NPI is 1265495139 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.