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LARRY BROCK BUTLER PA
NPI 1073138103
Physician Assistant in Vista, CA

Active since June 15, 2020PECOS Enrolled
63.53/100
CMS Quality Rating

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Larry Brock Butler Pa NPPES

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

LARRY BROCK BUTLER PA (NPI 1073138103) is an individual physician assistant in Vista, California, licensed in California (PA60323) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073138103
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLARRY BROCK BUTLERCredential: PA
Location Address130 CEDAR RDVista, CA 92083-5102
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 806-5500
Phone(760) 806-5500
Sole ProprietorNo
Enumeration DateJune 15, 2020
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1073138103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA60323
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
130 CEDAR RD, Vista, CA 92083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Brock Butler Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92083 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

63.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.56
Promoting Interoperability80
Improvement Activities40
Cost63.54

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.

ABBIE EPLEY PA-C
Physician Assistant
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5500
DR. DANAE NARVAZA PT, DPT
Physical Therapist
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 901-5040
ALEXANDER SHAFT
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5431
KERRI DUREN PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 630-8806
SOPHIA LE BRADLEY D.O.
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5500
DR. JENNIFER T LEE DO
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 827-7210
MARK ALAN PETERSON PT
Physical Therapist (Orthopedic)
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 901-5040
DR. PONTEAH DAMIRCHI MD
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (858) 927-5527

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 Larry Butler's NPI number?

The NPI number for Larry Butler is 1073138103. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Larry Butler located?

Larry Butler practices at 130 Cedar Rd, Vista, CA 92083. The listed phone number is (760) 806-5500.

What is Larry Butler's specialty?

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

Is Larry Butler enrolled in Medicare?

Yes. Larry Butler is registered in the Medicare PECOS enrollment system.

What insurance does Larry Butler accept?

Health plans from Select Health list Larry 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.

When was this NPI record last updated?

The NPPES record for Larry Butler was last updated on June 2, 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.