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MRS. SUSAN OLIVE DUNCAN-BUTLER M.D.
NPI 1184621534
Pediatrics in Waxhaw, NC

Active since June 30, 2005PECOS Enrolled
3614 PROVIDENCE RD S STE 101, WAXHAW, NC 28173(704) 384-8460(704) 384-8771 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2020, Mar 18, 2016 (2 updates tracked since 2016).

About Mrs. Susan Olive Duncan-butler M.d. NPPES

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

MRS. SUSAN OLIVE DUNCAN-BUTLER M.D. (NPI 1184621534) is an individual pediatrics provider in Waxhaw, North Carolina, licensed in North Carolina (2001-00861) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184621534
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. SUSAN OLIVE DUNCAN-BUTLERCredential: M.D.
Location Address3614 PROVIDENCE RD S STE 101Waxhaw, NC 28173-6309
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Phone(704) 384-8460
Fax(704) 384-8771
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1184621534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2001-00861
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.
3614 PROVIDENCE RD S STE 101, Waxhaw, NC 28173
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Other Identifiers 3

Medicaid1184621534NC
Other130U1NC · Bcbs Provider Number
OtherNC8802CNC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Olive Duncan-butler M.d. 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 Reassignment

Medicare enrollment records show Susan Duncan-butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Medical Group, Inc
Same address
Orthopaedic Surgery
3614 PROVIDENCE RD S, SUITE 200
Waxhaw, NC 28173
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1275837411 (704) 367-4800

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 28173 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 Susan Duncan-butler's NPI number?

The NPI number for Susan Duncan-butler is 1184621534. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Susan Duncan-butler located?

Susan Duncan-butler practices at 3614 Providence Rd S Ste 101, Waxhaw, NC 28173. The listed phone number is (704) 384-8460.

What is Susan Duncan-butler's specialty?

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

Is Susan Duncan-butler enrolled in Medicare?

Yes. Susan Duncan-butler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Duncan-butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Duncan-butler reassigns Medicare benefits to Novant Medical Group, Inc (Waxhaw, NC). The 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 Susan Duncan-butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Duncan-butler accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Susan Duncan-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 Susan Duncan-butler was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.