Doctor profile · Federal record

Dr. Benjamin Boone, M.D.

Rheumatology Physician (CMS: Internal Medicine) · Louisville, KY

  • NPI 1366974826
  • Accepts Medicare
  • MIPS 79.3 / 100 · 2023
  • 9 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3430 Newburg RD Ste 250
Louisville, KY 402182458
(502) 893-3963
fax (502) 893-2235

Credentials & registration

NPPES · NUCC
NPI registered
April 2017 — 9 yrs on file
Profile last updated
September 16, 2022
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
207RR0500X — NUCC code
State license (1)
Kentucky #57120

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366974826. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
56,812
Distinct HCPCS
10
Medicare allowed
$552,710
HCPCS Description Services Patients Avg allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 31,600 33 $5
J3262 Injection, tocilizumab, 1 mg 11,680 16 $6
J1602 Injection, golimumab, 1 mg, for intravenous use 8,850 29 $13
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 3,200 25 $42
J0897 Injection, denosumab, 1 mg 660 11 $24
96372 Injection of drug or substance under skin or into muscle 174 47 $13
99214 Established patient office or other outpatient visit, 30-39 minutes 127 85 $116
73120 X-ray of hand, 2 views 118 62 $20
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 115 73 $56
99204 New patient office or other outpatient visit, 45-59 minutes 71 71 $155

In context: peer comparison

Among 13 peers in this city , average services per provider: 4,733. This provider delivers 12× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$27,167
Transactions
233
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Novartis Pharmaceuticals Corporation 16 $12,335.53
ABBVIE INC. 48 $7,643.63
Amgen Inc. 52 $2,609.71
Janssen Biotech, Inc. 24 $2,234.12
UCB, Inc. 18 $396.39
PFIZER INC. 16 $264.59
GlaxoSmithKline, LLC. 8 $246.82
AstraZeneca Pharmaceuticals LP 9 $229.51
Mallinckrodt Hospital Products Inc. 7 $220.52
E.R. Squibb & Sons, L.L.C. 11 $214.62
Lilly USA, LLC 7 $208.72
Sandoz Inc. 7 $149.81
Boehringer Ingelheim Pharmaceuticals, Inc. 4 $83.51
Alexion Pharmaceuticals, Inc. 4 $66.64
GENZYME CORPORATION 2 $53.70

By nature of payment

Consulting Fee
$18,893
Food and Beverage
$5,819
Travel and Lodging
$2,455

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
398
Patients
149
Total drug cost
$211,477
Drug Type Claims Patients Total cost
Prednisone Generic 215 77 $3,189
Methotrexate (Methotrexate Sodium) Brand 46 19 $2,311
Colchicine Generic 36 20 $1,848
Hydroxychloroquine Sulfate Generic 35 19 $1,545
Allopurinol Generic 26 14 $430
Leflunomide Generic 15 0 $723
Humira(Cf) Pen (Adalimumab) Brand 13 0 $152,851
Kevzara (Sarilumab) Brand 12 0 $48,579

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Benjamin Boone's medical specialty?
Dr. Benjamin Boone practices Rheumatology Physician in Louisville, KY.
Where does Dr. Benjamin Boone practice?
Dr. Benjamin Boone practices at 3430 Newburg RD Ste 250, Louisville, KY 402182458. Office phone: 5028933963.
What is Dr. Benjamin Boone's NPI?
Dr. Benjamin Boone's National Provider Identifier (NPI) is 1366974826, issued by NPPES.
Does Dr. Benjamin Boone accept Medicare assignment?
Yes. Dr. Benjamin Boone accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Benjamin Boone commonly perform?
Top Medicare-reported procedures in 2023: Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (HCPCS J0717); Injection, tocilizumab, 1 mg (HCPCS J3262); Injection, golimumab, 1 mg, for intravenous use (HCPCS J1602). Source: CMS Medicare Physician & Other Practitioners file.