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MR. JACK D BUTLER DO
NPI 1316925449
Internal Medicine in Oklahoma City, OK

Active since January 09, 2006PECOS Enrolled
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112(405) 713-7403(405) 713-2794 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 20, 2017, Feb 3, 2016 (2 updates tracked since 2016).

About Mr. Jack D Butler Do NPPES

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

MR. JACK D BUTLER DO (NPI 1316925449) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (2084) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316925449
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JACK D BUTLERCredential: DO
Location Address3300 NW EXPRESSWAYOklahoma City, OK 73112-4418
Mailing Address5300 N Independence Ave, Ste 280Oklahoma City, OK 73112-5556 · (405) 713-7403 · Fax (405) 713-2794
Phone(405) 713-7403
Fax(405) 713-2794
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 20, 20172 updates tracked since enumeration
✔ NPI 1316925449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OK · 2084✔ Licensed in AZ · 1786
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3300 NW EXPRESSWAY, Oklahoma City, OK 73112
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Other Identifiers 2

Medicaid240010AZ
Medicare UPINE44462AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack D Butler Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

MOLLY LYNN COLVARD DNP
Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (918) 698-4318
NORTHWEST ANESTHESIA PC
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 951-2815
MRS. SARAH E HART PA-C
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3349
ANGELA M SCHRAG ARNP
Nurse Practitioner (Neonatal)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3393
MICHAEL LOUIS BRUCE
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 636-7087
MEGAN V MCFARLAND APRN
Nurse Practitioner (Pediatrics, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-4100
MYKENZIE RYAN MORRISON BSN-RN
Registered Nurse (Emergency)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
JADE ELAINE HOGAN
Registered Nurse
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (530) 440-4187

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 Jack Butler's NPI number?

The NPI number for Jack Butler is 1316925449. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Jack Butler located?

Jack Butler practices at 3300 NW Expressway, Oklahoma City, OK 73112. The listed phone number is (405) 713-7403.

What is Jack Butler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Butler enrolled in Medicare?

Yes. Jack Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Butler was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.