DR. GARY J BUTCHKO M.D. - NPI 1285620203 - Pediatrics in Cleveland, OH

Q: What is Gary Butchko's NPI number?

The NPI number for Gary Butchko is 1285620203. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Gary Butchko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Gary Butchko was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Gary J Butchko M.d. NPPES

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

DR. GARY J BUTCHKO M.D. (NPI 1285620203) is an individual pediatric cardiology provider in Cleveland, Ohio, licensed in Ohio (35.073196) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1285620203

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. GARY J BUTCHKOCredential: M.D.

Location Address9500 EUCLID AVE # M41Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave # M41Cleveland, OH 44195-0001 · (216) 399-6248 · Fax (216) 445-3692

Phone(216) 445-5000

Fax(216) 455-3692

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1996

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1285620203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in OH · 35.073196✔ Licensed in TX · P7402

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 35.073196 (OH)

9500 EUCLID AVE # M41, Cleveland, OH 44195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Insurance Corporation of Ohio.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. Gary J Butchko 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 ID9739243007

PECOS Enrollment IDI20090131000003

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.

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.

DR. MADALSA PATEL M.D.

Pediatrics (Pediatric Critical Care Medicine)