1. Home
  2. Directory
  3. Arizona
  4. San Tan Valley
  5. Obstetrics Gynecology
  6. NPI Profile

VIDALIA M BUTLER-POKU MD
NPI 1285639286
Obstetrics & Gynecology in San Tan Valley, AZ

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
270 E HUNT HWY, 10, SAN TAN VALLEY, AZ 85143(480) 987-5500(480) 987-5507 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vidalia M Butler-poku Md NPPES

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

VIDALIA M BUTLER-POKU MD (NPI 1285639286) is an individual obstetrics & gynecology provider in San Tan Valley, Arizona, licensed in Arizona (33705) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1285639286
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameVIDALIA M BUTLER-POKUCredential: MD
Location Address270 E HUNT HWY, 10San Tan Valley, AZ 85143-4962
Mailing Address270 E Hunt Hwy, 10San Tan Valley, AZ 85143-4962 · (480) 987-5500 · Fax (480) 987-5507
Phone(480) 987-5500
Fax(480) 987-5507
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 3, 2016
✔ NPI 1285639286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 33705
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
270 E HUNT HWY, San Tan Valley, AZ 85143
Open in Google Maps ↗

Other Identifiers 4

Medicare PINZ62361
Medicare ID-Type Unspecified001728200PA
Medicare UPING85462PA
Medicaid941494AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Vidalia M Butler-poku 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 ID2062462955
PECOS Enrollment IDI20050609000278
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 Vidalia Butler-poku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hera Health Medical Group - Az PLLC
3.2 mi
Maternal & Fetal Medicine
36375 N GANTZEL RD STE 103
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 30 clinicians in this Medicare group
NPI 1821728916 (480) 987-5500

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.
20 services17 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.
18 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85143 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

AFC PHYSICAL MEDICINE OF SAN TAN VALLEY, PLLC
Non-Pharmacy Dispensing Site
270 E HUNT HWY, SUITE A-2
SAN TAN VALLEY, AZ 85143
Pinal County (480) 882-2222
WOMEN OF EXCELLENCE HEALTHCARE, PLLC
Obstetrics & Gynecology
270 E HUNT HWY, STE 10
SAN TAN VALLEY, AZ 85143
Pinal County (480) 987-5500
ARIZONA WOMEN'S HEALTH PLLC
Obstetrics & Gynecology
270 E HUNT HWY, STE 10
SAN TAN VALLEY, AZ 85143
Pinal County (480) 987-5500

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 Vidalia Butler-poku's NPI number?

The NPI number for Vidalia Butler-poku is 1285639286. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Vidalia Butler-poku located?

Vidalia Butler-poku practices at 270 E Hunt Hwy 10, San Tan Valley, AZ 85143. The listed phone number is (480) 987-5500.

What is Vidalia Butler-poku's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vidalia Butler-poku enrolled in Medicare?

Yes. Vidalia Butler-poku 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.

Which organization bills Medicare for Vidalia Butler-poku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidalia Butler-poku reassigns Medicare benefits to Hera Health Medical Group - Az PLLC (San Tan Valley, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vidalia Butler-poku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vidalia Butler-poku accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Vidalia Butler-poku 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.

When was this NPI record last updated?

The NPPES record for Vidalia Butler-poku was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.