DR. PARAG BUTALA MD
NPI 1245498443
Plastic Surgery in Gastonia, NC

Q: What is Parag Butala's NPI number?

The NPI number for Parag Butala is 1245498443. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Q: What is Parag Butala's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Parag Butala was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 26, 2008PECOS EnrolledAccepts Medicare Assignment

85.36/100

CMS Quality Rating

937 COX RD, GASTONIA, NC 28054(704) 898-8014(704) 898-8018 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Apr 17, 2026, Jun 23, 2020 (3 updates tracked since 2020).

On this page

About Dr. Parag Butala Md NPPES

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

DR. PARAG BUTALA MD (NPI 1245498443) is an individual plastic surgery provider in Gastonia, North Carolina, licensed in North Carolina (201200537) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in Gastonia.

NPPES Registry Identity

NPI1245498443

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. PARAG BUTALACredential: MD

Location Address937 COX RDGastonia, NC 28054-3455

Mailing Address1072 X Ray Dr Ste BGastonia, NC 28054-7488 · (704) 671-1094 · Fax (704) 671-1095

Phone(704) 898-8014

Fax(704) 898-8018

Sole ProprietorYes

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2006

Enumeration DateMay 26, 2008

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1245498443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NC · 201200537

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

937 COX RD, Gastonia, NC 28054

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Secondary Practice Location 1

Location 1959 Cox RdGastonia, NC 28054-3420 · Phone (704) 866-7576 · Fax (704) 866-0106

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and more.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

Dr. Parag Butala 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 ID1658427158

PECOS Enrollment IDI20150702001089

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 22

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

606 services109 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

228 services143 patients

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.

222 services155 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

201 services151 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

165 services119 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

133 services77 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

92 services74 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

61 services55 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

48 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

37 services30 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

32 services17 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.

32 services31 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

29 services26 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

28 services22 patients

Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less 13122

This procedure involves the complex repair of a wound on the scalp, arms, or legs. It's more intricate than a regular wound repair, often involving layered sutures, debridement, and tissue rearrangement. The service covers each additional wound up to 5.0 cm in length.

22 services18 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

15 services14 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

13 services12 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

13 services13 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

12 services12 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

12 services12 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11604

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

85.36/100

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

Scored as part of a group practice

Quality

87.34

Promoting Interoperability

Improvement Activities

Cost

68.02

Reported Quality Measures

Advance Care Plan

100%523 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,716 patients5/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%61 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 865 patients

Patients screened: 99% · 865 patients

88%118 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 87% · 301 patients

Patients screened: 96% · 301 patients

40%45 patients

Provide Patients Electronic Access to Their Health Information

96%943 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%61 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW AARON APPLEBAUM MD

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

GREGORY ALLEN MANTOOTH M.D.

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

DR. ERIC TOMSON EMERSON MD

Surgery (Plastic and Reconstructive Surgery)

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

CHARALAMPOS SIOTOS MD, PHD

Plastic Surgery

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

AMY LYNN DOCKERY

Clinic/Center

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

MRS. ANDREA HOWE SPARR PA

Physician Assistant

937 COX RD
GASTONIA, NC 28054

Gaston County (047) 898-8014

WILLIAM LEO FANGMAN MD

Dermatology (MOHS-Micrographic Surgery)

937 COX RD
GASTONIA, NC 28054

Gaston County (704) 898-8014

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 Parag Butala's NPI number?

The NPI number for Parag Butala is 1245498443. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Where is Parag Butala located?

Parag Butala practices at 937 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 898-8014.

What is Parag Butala's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Parag Butala enrolled in Medicare?

Yes. Parag Butala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Parag Butala accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Parag Butala 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.

Is Parag Butala affiliated with any hospitals?

According to CMS data, Parag Butala is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Parag Butala was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.