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DR. JOHN MICHAEL BUTLER II MD
NPI 1104280585
Emergency Medicine in Winston Salem, NC

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
GME WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-5222 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Michael Butler Ii Md NPPES

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

DR. JOHN MICHAEL BUTLER II MD (NPI 1104280585) is an individual emergency medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2017-01925) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2016).

NPPES Registry Identity

NPI1104280585
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN MICHAEL BUTLER IICredential: MD
Location AddressGME WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressGme Wake Forest Baptist Medical Ctr, Medical Center BlvdWinston Salem, NC 27157-0001
Phone(336) 716-5222
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 20, 2017
✔ NPI 1104280585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2017-01925
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
GME WAKE FOREST BAPTIST MEDICAL CTR, Winston Salem, NC 27157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. John Michael Butler Ii 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 ID143515148
PECOS Enrollment IDI20180628001714
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 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.
183 services170 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.
40 services39 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.
38 services37 patients

Hospital Affiliations CMS Care Compare 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Lifebrite Community Hospital Of Stokes

Critical Access Hospitals · Danbury, NC
OwnershipProprietary
CMS Certification Number341317
Location1570 Nc 8 & 89 Hwy NorthDanbury, NC 27016 · Stokes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 John Butler's NPI number?

The NPI number for John Butler is 1104280585. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is John Butler located?

John Butler practices at Gme Wake Forest Baptist Medical Ctr Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-5222.

What is John Butler's specialty?

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

Is John Butler enrolled in Medicare?

Yes. John 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 John Butler accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of NC and 1 other insurer list John 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 John Butler affiliated with any hospitals?

According to CMS data, John Butler is affiliated with High Point Regional Health System, North Carolina Baptist Hospital and Lifebrite Community Hospital Of Stokes.

When was this NPI record last updated?

The NPPES record for John Butler was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.