MRS. ALICIA BUTERBAUGH RD, LD, CDE
NPI 1073126389
Dietitian, Registered - Nutrition, Metabolic in Beavercreek, OH
About Mrs. Alicia Buterbaugh Rd, Ld, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICIA BUTERBAUGH RD, LD, CDE (NPI 1073126389) is an individual nutrition, metabolic provider in Beavercreek, Ohio and active in the NPI registry since August 2020. She is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Mrs. Alicia Buterbaugh Rd, Ld, Cde 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Buterbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVERCREEK, OH 45431
BEAVERCREEK, OH 45431
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 Alicia Buterbaugh's NPI number?
The NPI number for Alicia Buterbaugh is 1073126389. It was assigned to this individual provider in the NPPES registry on August 26, 2020.
Where is Alicia Buterbaugh located?
Alicia Buterbaugh practices at 2510 Commons Blvd Ste 160, Beavercreek, OH 45431. The listed phone number is (937) 401-7575.
What is Alicia Buterbaugh's specialty?
The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.
Is Alicia Buterbaugh enrolled in Medicare?
Yes. Alicia Buterbaugh 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 organization bills Medicare for Alicia Buterbaugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Buterbaugh reassigns Medicare benefits to Kettering Independent Medical Group Inc (Miamisburg, OH). The 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 Alicia Buterbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Buterbaugh accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Alicia Buterbaugh 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.
When was this NPI record last updated?
The NPPES record for Alicia Buterbaugh was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Alicia Buterbaugh, RD, LD, CDE · NPI 1073126389
Nutrition, Metabolic provider in Beavercreek, Ohio. Individual provider, active in the CMS NPPES registry since August 26, 2020.
## Identity
- **NPI:** 1073126389 (Entity type: Individual)
- **Enumerated:** August 26, 2020
- **Primary specialty:** Dietitian, Registered - Nutrition, Metabolic · taxonomy 133VN1006X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2510 COMMONS BLVD STE 160, Beavercreek, OH 45431-3834
- **Phone:** (937) 401-7575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** April 6, 2022
- **Other identifiers:** Medicaid 0421279 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1073126389) · Data from the CMS NPPES public registry.