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DR. DAVID BUTLER M.D.
NPI 1093765844
Orthopaedic Surgery in Orland Park, IL

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
15300 WEST AVENUE, SUITE 300 EAST BLDG, ORLAND PARK, IL 60462(708) 349-6700(708) 349-6706 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2024, Mar 6, 2024 (2 updates tracked since 2024).

About Dr. David Butler M.d. NPPES

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

DR. DAVID BUTLER M.D. (NPI 1093765844) is an individual orthopaedic surgery provider in Orland Park, Illinois, licensed in Illinois (036073346) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Crawford Memorial Hospital, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1093765844
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DAVID BUTLERCredential: M.D.
Location Address15300 WEST AVENUE, SUITE 300 EAST BLDGOrland Park, IL 60462-4684
Mailing Address15300 West Ave, Suite 330 East BldgOrland Park, IL 60462-4600 · (708) 349-6700 · Fax (708) 349-6706
Phone(708) 349-6700
Fax(708) 349-6706
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1093765844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IL · 036073346✔ Licensed in WI · 3534-320
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
15300 WEST AVENUE, Orland Park, IL 60462
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Secondary Practice Location 1

Location 13200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8932

Other Identifiers 2

Medicaid036073346IL
Medicaid1093765844WI

Accepted Insurance

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

Dr. David 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 ID4981762143
PECOS Enrollment IDI20091008000232
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

3

Medicare enrollment records show David Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Little Company Of Mary Affiliated Services Inc
9.2 mi
Urgent Care
5660 W 95TH ST, SUITE 1
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1033162086 (708) 499-2273
Crawford Hospital District
179 mi
Critical Access
1000 N ALLEN ST
Robinson, IL 62454
  • Reassigned Medicare billing, Illinois enrollment
  • 116 clinicians in this Medicare group
NPI 1265493720 (618) 544-3131
Lawrence County Memorial Hospital
199 mi
Critical Access
2200 STATE ST
Lawrenceville, IL 62439
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1396024162 (Illinois)
  • 80 clinicians in this Medicare group
NPI 1881643401 (618) 943-1000

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60462 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%340 patients2/55-star benchmark: 92%
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.
97%1,958 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 89% · 292 patients
Patients tobacco: 84% · 290 patients
38%21 patients2/55-star benchmark: 98%
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 4

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

DR. ANDRIUS KUDIRKA M.D.
Family Medicine
15300 WEST AVENUE, SUITE 221 S.
ORLAND PARK, IL 60462
Cook County (708) 590-5300
PALOS IMAGING, LLC
Radiology (Diagnostic Radiology)
15300 WEST AVENUE
ORLAND PARK, IL 60462
Cook County (708) 226-2500
DR. MICHAEL J. LYNCH D.O.
Family Medicine
15300 WEST AVENUE, SUITE 221 S.
ORLAND PARK, IL 60462
Cook County (708) 349-0747
MRS. CATHERINE JUNKANS RN MS PNP
Nurse Practitioner (Pediatrics)
15300 WEST AVENUE, SUITE 120S
ORLAND PARK, IL 60462
Cook County (708) 226-2323

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 1093765844. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is David Butler located?

David Butler practices at 15300 West Avenue Suite 300 East Bldg, Orland Park, IL 60462. The listed phone number is (708) 349-6700.

What is David Butler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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.

Which organizations bill Medicare for David Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Butler reassigns Medicare benefits to 3 organizations: Little Company Of Mary Affiliated Services Inc (Oak Lawn, IL), Crawford Hospital District (Robinson, IL) and Lawrence County Memorial Hospital (Lawrenceville, IL). 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 David Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Butler accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 Crawford Memorial Hospital and Lawrence County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Butler was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.