Doctor profile · Federal record
Dr. Ethan Boothe, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Fort Worth, TX
- NPI 1508209495
- MIPS 93.7 / 100 · 2023
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
815 Pennsylvania Ave
Fort Worth, TX 761042224
(817) 321-0404 - Mailing address
-
816 W Cannon St
Fort Worth, TX 761043146
Credentials & registration
- NPI registered
- April 2013 — 13 yrs on file
- Profile last updated
- July 30, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Texas #Q2741
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508209495. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,710
Distinct HCPCS
10
Medicare allowed
$139,255
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 1,724 | 1,623 | $9 | |
70450 |
Ct scan head or brain without contrast | 374 | 363 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 330 | 325 | $86 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 206 | 206 | $83 | |
71275 |
Ct scan of blood vessels of chest with contrast | 185 | 183 | $85 | |
72125 |
Ct scan of upper spine without contrast | 153 | 153 | $46 | |
74018 |
X-ray of abdomen, 1 view | 129 | 122 | $9 | |
71046 |
X-ray of chest, 2 views | 122 | 121 | $10 | |
71260 |
Ct scan of chest with contrast | 98 | 98 | $53 | |
71250 |
Ct scan of chest without contrast | 97 | 97 | $50 |
In context: peer comparison
Among 91 peers in Fort Worth Diagnostic Radiology Physician, average services per provider: 88. This provider delivers 54× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Ethan Boothe's medical specialty?
Dr. Ethan Boothe practices Diagnostic Radiology Physician in Fort Worth, TX.
Where does Dr. Ethan Boothe practice?
Dr. Ethan Boothe practices at 815 Pennsylvania Ave, Fort Worth, TX 761042224. Office phone: 8173210404.
What is Dr. Ethan Boothe's NPI?
Dr. Ethan Boothe's National Provider Identifier (NPI) is 1508209495, issued by NPPES.
Does Dr. Ethan Boothe accept Medicare assignment?
Dr. Ethan Boothe does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Ethan Boothe commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Ct scan head or brain without contrast (HCPCS 70450); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.