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

AMELIA HARRIS BUTTOLPH MD
NPI 1164719035
Family Medicine in Belleville, WI

Q: What is Amelia Buttolph's NPI number?

The NPI number for Amelia Buttolph is 1164719035. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Q: What is Amelia Buttolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Buttolph was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 29, 2011PECOS Enrolled

1121 BELLWEST BLVD, BELLEVILLE, WI 53508(608) 424-3384 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 30, 2026, Feb 15, 2023, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

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About Amelia Harris Buttolph Md NPPES

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

AMELIA HARRIS BUTTOLPH MD (NPI 1164719035) is an individual family medicine provider in Belleville, Wisconsin, licensed in Wisconsin (59892-20) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1164719035

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMELIA HARRIS BUTTOLPHCredential: MD

Location Address1121 BELLWEST BLVDBelleville, WI 53508-9433

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 424-3384

Sole ProprietorNo

Enumeration DateJune 29, 2011

Last NPPES UpdateAugust 30, 20265 updates tracked since enumeration

NPPES CertifiedAugust 30, 2026

✔ NPI 1164719035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 59892-20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1121 BELLWEST BLVD, Belleville, WI 53508

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Secondary Practice Location 1

Location 1200 Mercy CircleOceanside, CA 92055 · Phone (760) 719-3132

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Harris Buttolph Md 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 53508 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

SHANAYA MARIE HEBGEN MD

Student in an Organized Health Care Education/Training Program