Theoram Michael Boone, FNP-C
NPI 1376320077ActiveIndividual· Nurse Practitioner, Family· Corvallis, OR
Nurse Practitioner, Family (FNP-C) with Kaiser Foundation Health Plan of the Northwest and 1 other group, practicing in Corvallis, Oregon. Their prescriptions cost Medicare Part D more than their services did: $6,797 for 332 claims, against $767.46 paid for services in 2024.
Overview
| NPI | 1376320077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2023 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 10005506 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 19 across 8 procedure codes |
| Paid by Medicare | $767.46 |
Part D prescriptions in 2024
| Prescriptions (claims) | 332 · 456 30-day fills |
|---|---|
| Patients | 225 |
| Total drug cost | $6,797 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
- The Corvallis Clinic P CAlbany, OR · 124 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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