MICHAEL BUTLER
NPI 1356801815
Hospitalist in Montgomery, OH

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-2246 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2022, Mar 21, 2019 (2 updates tracked since 2019).

About Michael Butler NPPES

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

MICHAEL BUTLER (NPI 1356801815) is an individual hospitalist provider in Montgomery, Ohio, licensed in Ohio (35.144995) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1356801815
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL BUTLER
Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address10500 Montgomery RdMontgomery, OH 45242-4402 · (513) 865-2246
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
NPI 1356801815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.144995
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

10500 MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 955-0350

Accepted 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

Michael Butler 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 ID1951736024
PECOS Enrollment IDI20220805001017
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
382 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
104 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Specialist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Radiology (Diagnostic Radiology)
10500 MONTGOMERY RD
CINCINNATI, OH 45242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356801815, enumerated as an "individual" on March 21, 2019.

The provider is located at 10500 MONTGOMERY RD MONTGOMERY, OH 45242 and the phone number is (513) 865-2246.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Michael Butler is affiliated with: GOOD SAMARITAN HOSPITAL and BETHESDA NORTH.