DR. OLAF BUTCHMA DO
NPI 1326037474
Internal Medicine in Westhampton, NY

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
16.52/100
CMS Quality Rating
78 OLD COUNTRY RD, WESTHAMPTON, NY 11977(516) 365-1953(516) 365-1475 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2023, Mar 19, 2020, Dec 10, 2019 (3 updates tracked since 2019).

About Dr. Olaf Butchma Do NPPES

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

DR. OLAF BUTCHMA DO (NPI 1326037474) is an individual internal medicine provider in Westhampton, New York, licensed in New York (181777) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1988).

NPPES Registry Identity

NPI1326037474
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. OLAF BUTCHMACredential: DO
Location Address78 OLD COUNTRY RDWesthampton, NY 11977-1219
Mailing AddressPo Box 367Manhasset, NY 11030-0367 · (516) 365-1953 · Fax (516) 365-1476
Fax(516) 365-1475
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1988
Enumeration DateOctober 20, 2005
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1326037474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 181777
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.
78 OLD COUNTRY RD, Westhampton, NY 11977

Other Identifiers 1

Medicaid01367591NY

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. Olaf Butchma Do 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 ID8022011576
PECOS Enrollment IDI20060823000051
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 8

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,143 services472 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
728 services170 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
460 services258 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
456 services422 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
438 services140 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
153 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11977 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

16.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost55.09

Referred Medical Equipment & Supplies CMS DME claims 37

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers27 claims27 services$23.54 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$4.75 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers24 claims24 services$9.37 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$6.04 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers24 claims480 services$5.75 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier21 claims1,204 services$1.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physical Therapy Assistant
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Physical Therapy Assistant
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Skilled Nursing Facility
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Physical Therapy Assistant
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Physical Therapist
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Occupational Therapy Assistant
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Speech-Language Pathologist
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977
Occupational Therapist
78 OLD COUNTRY RD
WESTHAMPTON, NY 11977

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 Olaf Butchma's NPI number?

The NPI number for Olaf Butchma is 1326037474. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Olaf Butchma located?

Olaf Butchma practices at 78 Old Country Rd, Westhampton, NY 11977. The listed phone number is (516) 365-1953.

What is Olaf Butchma's specialty?

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

Is Olaf Butchma enrolled in Medicare?

Yes. Olaf Butchma 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.

When was this NPI record last updated?

The NPPES record for Olaf Butchma was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.