DR. KATHERINE BUTLER MD
NPI 1184153116
Pediatrics in Philadelphia, PA

Active since June 04, 2017PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2023, Jul 21, 2022, Sep 30, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Katherine Butler Md NPPES

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

DR. KATHERINE BUTLER MD (NPI 1184153116) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD471368) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184153116
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHERINE BUTLERCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorNo
Enumeration DateJune 4, 2017
Last NPPES UpdateApril 3, 20234 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1184153116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD471368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Butler 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Katherine Butler's NPI number?

The NPI number for Katherine Butler is 1184153116. It was assigned to this individual provider in the NPPES registry on June 4, 2017.

Where is Katherine Butler located?

Katherine Butler practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Katherine Butler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Butler enrolled in Medicare?

Yes. Katherine Butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Butler reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Dell Children's Medical Group (Round Rock, TX). 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 Katherine Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Butler accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Katherine 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.

When was this NPI record last updated?

The NPPES record for Katherine Butler was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.