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DR. DAVID N BUTLER M.D.
NPI 1083821037
Internal Medicine - Gastroenterology in Chicago, IL

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
2001 S CALIFORNIA AVE STE 101, CHICAGO, IL 60608(773) 254-5350(773) 254-5353 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David N Butler M.d. NPPES

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

DR. DAVID N BUTLER M.D. (NPI 1083821037) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036086271) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and is a graduate of Wayne State University School Of Medicine (1990).

NPPES Registry Identity

NPI1083821037
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID N BUTLERCredential: M.D.
Location Address2001 S CALIFORNIA AVE STE 101Chicago, IL 60608-2486
Mailing AddressPo Box 805686Chicago, IL 60680-4118 · (773) 254-5350 · Fax (773) 254-5353
Phone(773) 254-5350
Fax(773) 254-5353
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1990
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 11, 2012
✔ NPI 1083821037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036086271
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2001 S CALIFORNIA AVE STE 101, Chicago, IL 60608
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Other Identifiers 2

Other0001608258Bcbs Of Illinois
Medicare UPING05584IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. David N Butler M.d. 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 ID8729050240
PECOS Enrollment IDI20040809000194
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
132 services124 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.
50 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
28 services28 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
25 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services12 patients
Insertion of stomach tube using a flexible endoscope 43246
This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140177
Location7531 S Stony Island AveChicago, IL 60649 · Cook County
Emergency services

South Shore Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140181
Location8012 South Crandon AvenueChicago, IL 60617 · Cook County
Emergency services

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
100%117 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
100%65 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%44 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%296 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
98%550 patients5/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%574 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%948 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%299 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%948 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%948 patients1/55-star benchmark: 79%
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.

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 David Butler's NPI number?

The NPI number for David Butler is 1083821037. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is David Butler located?

David Butler practices at 2001 S California Ave Ste 101, Chicago, IL 60608. The listed phone number is (773) 254-5350.

What is David Butler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Butler enrolled in Medicare?

Yes. David 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 David Butler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list David 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 David Butler affiliated with any hospitals?

According to CMS data, David Butler is affiliated with St Bernard Hospital, Jackson Park Hospital, South Shore Hospital and Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for David Butler was last updated on April 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.