JESSICA M BUTANIS DO
NPI 1003220799
Internal Medicine in Alexandria, MN

Q: What is Jessica Butanis's NPI number?

The NPI number for Jessica Butanis is 1003220799. It was assigned to this individual provider in the NPPES registry on June 20, 2014. The provider is also known as Jessica Peterson.

Q: What is Jessica Butanis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Butanis was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment

610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-5123(320) 763-7883 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica M Butanis Do NPPES

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

JESSICA M BUTANIS DO (NPI 1003220799) is an individual internal medicine provider in Alexandria, Minnesota, licensed in Minnesota (61656) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003220799

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJESSICA M BUTANISCredential: DO

Location Address610 30TH AVE WAlexandria, MN 56308-3426

Mailing Address610 30th Avenue WestAlexandria, MN 56308 · (320) 763-5123 · Fax (320) 763-7883

Phone(320) 763-5123

Fax(320) 763-7883

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 20, 2014

Last NPPES UpdateJanuary 23, 2018

✔ NPI 1003220799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MN · 61656✔ Licensed in IA · R10068

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

610 30TH AVE W, Alexandria, MN 56308

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Other Names 1

Former Name (1)Jessica Peterson

Other Identifiers 2

OtherH400413191MN · Medicare

Medicaid1003220799MN

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

Jessica M Butanis Do 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 ID7911123849

PECOS Enrollment IDI20170926000150

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

840 services346 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

294 services294 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

252 services237 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services31 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

33 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alomere Health

Acute Care Hospitals · Alexandria, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240030

Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241376

Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County

Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241379

Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers92 claims194 services$5.62 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers24 claims27 services$0.96 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier14 claims1,260 services$1.74 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers47 claims47 services$46.27 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers23 claims23 services$116.71 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers24 claims47 services$43.65 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers28 claims109 services$22.34 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers24 claims105 services$18.36 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers56 claims56 services$71.87 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers49 claims49 services$25.07 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers15 claims15 services$21.32 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers65 claims276 services$2.87 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers22 claims22 services$14.31 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier28 claims28 services$21.28 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier18 claims19 services$18.78 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers21 claims21 services$6.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers66 claims67 services$47.70 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers71 claims71 services$114.67 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers22 claims1,380 services$0.70 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers127 claims127 services$188.89 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers25 claims25 services$23.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANDREA M BOE MD

Internal Medicine

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 759-2640

JUSTIN T CONLEY MD

Pediatrics

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-5123

TIMOTHY F BUSIAN DO

Family Medicine

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-5123

MICHAEL L BRISTOW DO

Family Medicine

610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308

Douglas County (320) 763-5123

RACHEL LEE ARICKX FNP-C

Nurse Practitioner (Family)

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-2540

ANDREW STORM BSN, RN

Registered Nurse (Addiction (Substance Use Disorder))

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-2508

HEATHER RENEE LUCKEN SCHOLL FNP

Nurse Practitioner

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-2540

KAREN KAY DENTICE SAGER PA

Physician Assistant (Medical)

610 30TH AVE W
ALEXANDRIA, MN 56308

Douglas County (320) 763-5123

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 Jessica Butanis's NPI number?

The NPI number for Jessica Butanis is 1003220799. It was assigned to this individual provider in the NPPES registry on June 20, 2014. The provider is also known as Jessica Peterson.

Where is Jessica Butanis located?

Jessica Butanis practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Jessica Butanis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessica Butanis enrolled in Medicare?

Yes. Jessica Butanis 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.

Is Jessica Butanis affiliated with any hospitals?

According to CMS data, Jessica Butanis is affiliated with Alomere Health, St Cloud Hospital, Glacial Ridge Hospital and Prairie Ridge Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Jessica Butanis was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.