1. Home
  2. Directory
  3. California
  4. San Diego
  5. Hospitalist
  6. NPI Profile

BRIAN BUTLER M.D.
NPI 1003058991
Hospitalist in San Diego, CA

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 686-3935 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2020, Jul 18, 2017 (2 updates tracked since 2017).

About Brian Butler M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN BUTLER M.D. (NPI 1003058991) is an individual hospitalist provider in San Diego, California, licensed in California (A115294) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2009).

NPPES Registry Identity

NPI1003058991
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBRIAN BUTLERCredential: M.D.
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address10140 Campus Point DrSan Diego, CA 92121-1520 · (619) 686-3935
Phone(619) 686-3935
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2009
Enumeration DateMarch 24, 2009
Last NPPES UpdateMay 15, 20202 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
✔ NPI 1003058991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A115294
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A115294 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4077 FIFTH AVE, San Diego, CA 92103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Butler M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719131622
PECOS Enrollment IDI20141024000031
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOT NOLAN DNP, RN, CNS
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3595
DR. ARASH ABIRI MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (185) 883-2247
BRIANNA ELISE LIPSEY RN, BSN
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
PAUL JIN HAN M.D.
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
San Diego County (619) 260-7022
CHRISTIAN NGUYEN KELLY
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
LINA MOHAMMED DO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
AMY MARIE SANTOS CCRN, MSN, ACNP
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103
San Diego County (619) 260-7285
TRACIE LORRAINE GADLER NP
Nurse Practitioner (Family)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 565-3892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Butler's NPI number?

The NPI number for Brian Butler is 1003058991. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Brian Butler located?

Brian Butler practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 686-3935.

What is Brian Butler's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brian Butler enrolled in Medicare?

Yes. Brian Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brian Butler was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.