Medicare billing address
CMS Medicare provider billing file
3400 Spruce St1 Silverstein
Philadelphia, PA 19104
CMS public data · NPI 1336384189
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Jordan O Booty, MD
Specialty
Credential
MD
NPI
1336384189
Primary source state
PA
Data retrieval date
July 27, 2026
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
This page shows Medicare billing and Part D prescribing data for Jordan O Booty, MD from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
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Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
CMS Medicare provider billing file
3400 Spruce StCMS Doctors & Clinicians file
255 W Lancaster AveCMS Doctors & Clinicians file
255 W Lancaster AveIn the 2024 CMS provider billing file, this NPI had 4,284 Medicare beneficiaries and 43,678 total services. The average beneficiary age was 76, and the average HCC risk score was 1.6.
Total Medicare allowed amount
$364,288.98
Total Medicare payment amount
$278,143.51
Medicare beneficiaries
4,284
Total services
43,678
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Ischemic heart disease
43%
CMS beneficiary-panel share
Mood disorders
31%
CMS beneficiary-panel share
Chronic kidney disease
30%
CMS beneficiary-panel share
Diabetes
30%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
| CMS service description | Services | Avg allowed |
|---|---|---|
| Injection, gadobutrol, 0.1 ml | 37,918 | $0.31 |
| X-ray of chest, 1 view | 890 | $8.44 |
| X-ray of chest, 2 views | 310 | $10.49 |
| Mri scan of pelvis before and after contrast | 296 | $355.53 |
| Ct scan of abdomen and pelvis with contrast | 274 | $85.65 |
| Limited ultrasound scan behind abdominal cavity | 189 | $27.38 |
| Ct scan head or brain without contrast | 187 | $39.15 |
| Mri scan of abdomen before and after contrast | 167 | $355.09 |
| Ct scan of chest without contrast | 156 | $50.85 |
| Ct scan of abdomen and pelvis without contrast | 146 | $82.05 |
Medical school
Jefferson Medical College Of Thomas Jefferson University
Graduation year
2008
Group/practice field
Main Line Health Imaging Lp
Telehealth reported
Not reported
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.