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JAMES BUTLER MD
NPI 1033671342
Emergency Medicine in Nogales, AZ

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1171 W TARGET RANGE RD, NOGALES, AZ 85621(520) 285-8020 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 3, 2025, Feb 9, 2023, May 20, 2022 and 2 more (5 updates tracked since 2019).

About James Butler Md NPPES

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

JAMES BUTLER MD (NPI 1033671342) is an individual emergency medicine provider in Nogales, Arizona, licensed in Arizona (75232) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1033671342
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES BUTLERCredential: MD
Location Address1171 W TARGET RANGE RDNogales, AZ 85621-2415
Mailing Address300 1st Capitol DrSaint Charles, MO 63301-2844
Phone(520) 285-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateJune 25, 20265 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1033671342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 75232✔ Licensed in MO · 2022012026✔ Licensed in NM · MD2026-0162
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1171 W TARGET RANGE RD, Nogales, AZ 85621
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Secondary Practice Location 1

Location 1300 1st Capitol DrSaint Charles, MO 63301-2844 · Phone (636) 947-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Butler 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 ID5597143438
PECOS Enrollment IDI20220603002354, I20250123002157, I20260204001248
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Butler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America-Arizona LLP
54 mi
Emergency Medicine
7401 S WILMOT RD
Tucson, AZ 85756
  • Reassigned Medicare billing, Arizona enrollment
  • 96 clinicians in this Medicare group
NPI 1841021581 (520) 493-0499
San Carlos Apache Healthcare Corporation
133 mi
Clinic/Center
9A CLARENCE WESLEY HEALTH CENTER LOOP
Bylas, AZ 85530
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1417330713 (928) 475-2686
Cep America- Arizona, PC
147 mi
Emergency Medicine
1405 S. ALMA SCHOOL RD.
Chandler, AZ 85286
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
NPI 1780202804 (480) 256-7000
Cep America LLC
187 mi
Emergency Medicine
1313 E 32ND ST
Silver City, NM 88061
  • Reassigned Medicare billing, New Mexico and Missouri enrollments
  • Also billed through NPI 1760863104 (Missouri)
  • 20 clinicians in this Medicare group
NPI 1558212548 (575) 538-4000
Southeast Missouri Hospital Physicians, LLC
1,289 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
212 services200 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services62 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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. PATRICK HUGH MULLETT MD
Emergency Medicine
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-3000
HOLY CROSS HOSPITAL INC
Long Term Care Hospital
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-3000
DR. KENDRA M SMITH M.D.
Emergency Medicine
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-8020
MR. STEPHEN A HENEFIELD C.R.N.A.
Nurse Anesthetist, Certified Registered
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-8010
AMOS HERR WILKINSON CRNA
Nurse Anesthetist, Certified Registered
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-3000
DR. SIMRAN SHASHI KAPUR M.D.
Emergency Medicine
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-8020
HCH TUCSON HOLDINGS LLC
Medicare Defined Swing Bed Unit
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-3000
WILLIAM L BARTHOLOMEW M.D.
Family Medicine
1171 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 285-3000

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 James Butler's NPI number?

The NPI number for James Butler is 1033671342. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is James Butler located?

James Butler practices at 1171 W Target Range Rd, Nogales, AZ 85621. The listed phone number is (520) 285-8020.

What is James Butler's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Butler enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Butler reassigns Medicare benefits to 5 organizations: Cep America-Arizona LLP (Tucson, AZ), San Carlos Apache Healthcare Corporation (Bylas, AZ), Cep America- Arizona, PC (Chandler, AZ), Cep America LLC (Silver City, NM) and Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Butler accept?

Health plans from Blue Cross Blue Shield of Arizona and Medica list James 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 James Butler affiliated with any hospitals?

According to CMS data, James Butler is affiliated with Ssm St Joseph Health Center and Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for James Butler was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.