THOMAS JACOB BUTENHOFF MPAS, PA-C
NPI 1215781109
Physician Assistant in Burnsville, MN

Q: What is Thomas Butenhoff's NPI number?

The NPI number for Thomas Butenhoff is 1215781109. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Q: What is Thomas Butenhoff'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 Thomas Butenhoff was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 April 16, 2024PECOS EnrolledAccepts Medicare Assignment

14000 FAIRVIEW DR, BURNSVILLE, MN 55337(952) 993-8700 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Apr 16, 2024 (2 updates tracked since 2024).

On this page

About Thomas Jacob Butenhoff Mpas, Pa-c NPPES

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

THOMAS JACOB BUTENHOFF MPAS, PA-C (NPI 1215781109) is an individual physician assistant in Burnsville, Minnesota, licensed in Minnesota (14787) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215781109

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTHOMAS JACOB BUTENHOFFCredential: MPAS, PA-C

Location Address14000 FAIRVIEW DRBurnsville, MN 55337-5713

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 16, 2024

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1215781109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 14787

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 14787 (MN)

14000 FAIRVIEW DR, Burnsville, MN 55337

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Thomas Jacob Butenhoff Mpas, Pa-c 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 ID9830619790

PECOS Enrollment IDI20250221001553

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.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

AMY MARTINEZ PT

Physical Therapist