MR. BRIAN ANTHONY BUTKUS PA-C
NPI 1013967538
Physician Assistant in Duluth, MN

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST, SUITE L201, DULUTH, MN 55802(218) 249-3057 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Anthony Butkus Pa-c NPPES

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

MR. BRIAN ANTHONY BUTKUS PA-C (NPI 1013967538) is an individual physician assistant in Duluth, Minnesota, licensed in Minnesota (9987) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013967538
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRIAN ANTHONY BUTKUSCredential: PA-C
Location Address1001 E SUPERIOR ST, SUITE L201Duluth, MN 55802-2207
Mailing Address1001 E Superior St, Suite L201Duluth, MN 55802-2207 · (218) 249-3057
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1013967538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 9987
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1001 E SUPERIOR ST, Duluth, MN 55802

Other Identifiers 1

Medicaid819684200MN

Accepted Insurance

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

Mr. Brian Anthony Butkus Pa-c 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 ID2365479292
PECOS Enrollment IDI20050722000403
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 8

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
483 services241 patients
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.
226 services185 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
96 services80 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.
80 services73 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
24 services24 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system 93289
This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.
24 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Internal Medicine
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Internal Medicine (Hematology & Oncology)
1001 E SUPERIOR ST, STE. L101
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE. 201
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST, DULUTH
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE, L201
DULUTH, MN 55802
Radiology (Radiation Oncology)
1001 E SUPERIOR ST, STE 101
DULUTH, MN 55802

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 Butkus's NPI number?

The NPI number for Brian Butkus is 1013967538. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Brian Butkus located?

Brian Butkus practices at 1001 E Superior St Suite L201, Duluth, MN 55802. The listed phone number is (218) 249-3057.

What is Brian Butkus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Butkus enrolled in Medicare?

Yes. Brian Butkus 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.

What insurance does Brian Butkus accept?

Health plans from HealthPartners and Security Health Plan list Brian Butkus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Butkus affiliated with any hospitals?

According to CMS data, Brian Butkus is affiliated with Essentia Health Duluth, St Lukes Hospital, Lake View Memorial Hospital, Community Memorial Hospital and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Butkus was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.