CRAIG D BUTLER II MD
NPI 1033119839
Radiology - Diagnostic Radiology in Morehead, KY

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
222 MEDICAL CIRCLE, MOREHEAD, KY 40351(606) 783-6500 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig D Butler Ii Md NPPES

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

CRAIG D BUTLER II MD (NPI 1033119839) is an individual diagnostic radiology provider in Morehead, Kentucky, licensed in Kentucky (35797) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of Mercer University School Of Medicine (1999).

NPPES Registry Identity

NPI1033119839
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCRAIG D BUTLER IICredential: MD
Location Address222 MEDICAL CIRCLEMorehead, KY 40351-1179
Mailing Address222 Medical CircleMorehead, KY 40351-1179 · (606) 783-6500
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1999
Enumeration DateJuly 22, 2005
Last NPPES UpdateMarch 18, 2016
NPI 1033119839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 35797
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
222 MEDICAL CIRCLE, Morehead, KY 40351

Other Identifiers 5

Medicare PIN0928802KY
OtherP00139356KY · Railroad Medicare
Other000000341155KY · Bc/bs Individual Pin No
Medicare UPINI12766
Medicaid64082407KY

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

Craig D Butler Ii Md 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 ID2769456995
PECOS Enrollment IDI20040824000438
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 47

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
662 services367 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
209 services186 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
168 services156 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
142 services132 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
116 services112 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
104 services104 patients

Hospital Affiliations CMS Care Compare 3

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181307
Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%21 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,229 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%262 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%93 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Pharmacist
222 MEDICAL CIRCLE, DEPARTMENT OF PHARMACY
MOREHEAD, KY 40351
Emergency Medicine
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Internal Medicine
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Nurse Anesthetist, Certified Registered
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Nurse Anesthetist, Certified Registered
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Physician Assistant
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Anesthesiology
222 MEDICAL CIRCLE
MOREHEAD, KY 40351

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 Craig Butler's NPI number?

The NPI number for Craig Butler is 1033119839. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Craig Butler located?

Craig Butler practices at 222 Medical Circle, Morehead, KY 40351. The listed phone number is (606) 783-6500.

What is Craig Butler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Craig Butler enrolled in Medicare?

Yes. Craig 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.

What insurance does Craig Butler accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Craig Butler 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 Craig Butler affiliated with any hospitals?

According to CMS data, Craig Butler is affiliated with St Claire Regional Medical Center, University Of Kentucky Hospital and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Craig Butler was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.