MR. JESSE PAUL BUTLER M.D.
NPI 1205888385
Orthopaedic Surgery in Gibson City, IL

Q: What is Jesse Butler's NPI number?

The NPI number for Jesse Butler is 1205888385. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Jesse Butler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Butler was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment

91.8/100

CMS Quality Rating

1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-4340(217) 784-2360 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Aug 24, 2022, Aug 31, 2020 and 3 more (6 updates tracked since 2017).

On this page

About Mr. Jesse Paul Butler M.d. NPPES

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

MR. JESSE PAUL BUTLER M.D. (NPI 1205888385) is an individual orthopaedic surgery provider in Gibson City, Illinois, licensed in Illinois (036-094206) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Gibson Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205888385

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMR. JESSE PAUL BUTLERCredential: M.D.

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address2514 Village Green PlChampaign, IL 61822-7675 · (773) 321-2800 · Fax (773) 321-2801

Phone(217) 784-4340

Fax(217) 784-2360

Sole ProprietorYes

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1992

Enumeration DateMay 16, 2006

Last NPPES UpdateMay 30, 20246 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1205888385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036-094206

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 036-094206 (IL)

1120 N MELVIN ST, Gibson City, IL 60936

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12514 Village Green PlChampaign, IL 61822-7675 · Phone (773) 321-2800 · Fax (773) 321-2801

Location 2221 E Lake St Ste 102Addison, IL 60101-2851 · Phone (773) 321-2800 · Fax (773) 321-2801

Other Identifiers 1

OtherIL3794001IL · Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jesse Paul Butler M.d. 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 ID5092714436

PECOS Enrollment IDI20061212000293

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 Jesse Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Community Hospital Association

Same address

Urology

1120 N MELVIN ST
Gibson City, IL 60936

Reassigned Medicare billing, Illinois enrollment
201 clinicians in this Medicare group

NPI 1043813454 (217) 784-2212

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

39 services36 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

20 services20 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60936 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.59

Promoting Interoperability

100

Improvement Activities

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.

MALCOLM TAYLOR ATC

Specialist/Technologist (Athletic Trainer)