Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL BUTLER
NPI 1144090507
Physician Assistant in Fort Wayne, IN

Q: What is Daniel Butler's NPI number?

The NPI number for Daniel Butler is 1144090507. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Daniel Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Butler was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since January 08, 2024PECOS Enrolled

11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845(260) 425-6780(260) 425-6789 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Daniel Butler NPPES

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

DANIEL BUTLER (NPI 1144090507) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10004290A) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144090507

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDANIEL BUTLER

Location Address11104 PARKVIEW CIRCLE DR STE 110Fort Wayne, IN 46845-1673

Mailing Address1928 Steup AveFort Wayne, IN 46808-2252 · (810) 689-8594

Phone(260) 425-6780

Fax(260) 425-6789

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 8, 2024

Last NPPES UpdateAugust 31, 2026

NPPES CertifiedAugust 31, 2026

✔ NPI 1144090507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004290A

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.

11104 PARKVIEW CIRCLE DR STE 110, Fort Wayne, IN 46845

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

Daniel Butler 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 ID7719324334

PECOS Enrollment IDI20240319001317

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.

Hospital Affiliations CMS Care Compare

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

DR. KELLEY RAE LOCKHART M.D.

Internal Medicine (Critical Care Medicine)