Jacqueline Renee Booth, MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

74273 Issued in TN

Practice address

800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927

Phone

(865) 483-2288

Fax

(865) 482-4400

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, NY, GA, TN4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Otolaryngology

Education

University of Virginia School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Ear, Nose and Throat Specialists, PCGroup PAC ID 0749262459, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
• Roane Medical Center Hospital, Harriman, TN, CCN 440031
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score

98.56 of 100Reported as apm

Quality

87.76

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD
• FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD/Endpoint/EHDGCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Tennessee Ear, Nose & Throat Specialists, PC

  • Otolaryngology Physician
  • Oak Ridge, TN
  • NPI 1467552216
  Medicare reassignment Care Compare group NPD
• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Medicare reassignment NPD
• Harmonie Medical

  • Medical Specialty Clinic/Center
  • Evans, GA
  • NPI 1245563097
  Medicare reassignment NPD
• Rousso Facial Plastic Surgery Clinic PC

  • Specialist
  • Birmingham, AL
  • NPI 1225140627
  Medicare reassignment NPD
• Canton-Potsdam Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Potsdam, NY
  • NPI 1114104445
  NPD
• East Tennessee Ear, Nose & Throat Specialists, PC

  • Otolaryngology Physician
  • Corbin, KY
  • NPI 1467664037
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• Roane County Medical Center

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1083143671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE STE C100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306927",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE STE C100",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306927",
            "telephone_number": "865-483-2288",
            "fax_number": "865-482-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Tanner Way Ste 130",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488332",
            "country_code": "US",
            "telephone_number": "865-882-1600",
            "fax_number": "865-285-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Independence Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377663040",
            "country_code": "US",
            "telephone_number": "423-562-9744",
            "fax_number": "423-544-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "009101",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TN",
            "license": "74273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clement H Block Jr., M.D.
• Megan Johnson Bode, APRN, NP-C
• Timothy Bond, MSOTR/L
• Joseph W. Bondranko Jr., MD
• Christina Bonner, CRNA
• Matthew Ryan Boroughs
• Kenneth L Boswell, CRNA
• Rhetta B Botts
• Lisa Bowers
• Kristina Jane Bowles, FNP-BC

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.