ADAM BUTCHER MD
NPI 1225488992
Hospitalist in Marquette, MI

Q: What is Adam Butcher's NPI number?

The NPI number for Adam Butcher is 1225488992. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Adam Butcher's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Butcher was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 14, 2016PECOS EnrolledAccepts Medicare Assignment

850 W BARAGA AVE, MARQUETTE, MI 49855(906) 449-3000 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Jul 11, 2019, Jun 14, 2016 (3 updates tracked since 2016).

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About Adam Butcher Md NPPES

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

ADAM BUTCHER MD (NPI 1225488992) is an individual hospitalist provider in Marquette, Michigan, licensed in Michigan (4301110004) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Marquette.

NPPES Registry Identity

NPI1225488992

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameADAM BUTCHERCredential: MD

Location Address850 W BARAGA AVEMarquette, MI 49855-4550

Mailing AddressPo Box 13811Belfast, ME 04915-4029 · (906) 225-3864

Phone(906) 449-3000

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2016

Enumeration DateJune 14, 2016

Last NPPES UpdateFebruary 5, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2021

✔ NPI 1225488992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MI · 4301110004

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301110004 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301110004 (MI)

850 W BARAGA AVE, Marquette, MI 49855

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Secondary Practice Location 1

Location 11414 W Fair Ave, Suite 36Marquette, MI 49855-2675 · Phone (906) 225-3864

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

Adam Butcher Md 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 ID2365737897

PECOS Enrollment IDI20160823002913

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

353 services139 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

184 services74 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

125 services119 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

40 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230054

Location850 W Baraga AveMarquette, MI 49855 · Marquette County

Emergency services Birthing friendly

Munising Memorial Hospital

Critical Access Hospitals · Munising, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231308

Location1500 Sand Point RdMunising, MI 49862 · Alger County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

DR. ROBERT JOHN CARROLL M.D.

Hospitalist