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GORDON BUTZIRUS PA-C
NPI 1366451890
Physician Assistant in Idabel, OK

Active since August 05, 2006PECOS Enrolled
601 SE WASHINGTON ST, IDABEL, OK 74745(580) 286-6688(580) 286-6699 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Butzirus Pa-c NPPES

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

GORDON BUTZIRUS PA-C (NPI 1366451890) is an individual physician assistant in Idabel, Oklahoma, licensed in Oklahoma (PA45) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366451890
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGORDON BUTZIRUSCredential: PA-C
Location Address601 SE WASHINGTON STIdabel, OK 74745-3319
Mailing Address601 Se Washington StIdabel, OK 74745-3319 · (580) 286-6688 · Fax (580) 286-6699
Phone(580) 286-6688
Fax(580) 286-6699
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 3, 2015
✔ NPI 1366451890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · PA45
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 SE WASHINGTON ST, Idabel, OK 74745
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Other Identifiers 2

Medicare UPINPENDING
MedicaidPENDINGOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon Butzirus Pa-c 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 74745 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers38 claims97 services$5.94 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers17 claims17 services$16.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers24 claims50 services$2.83 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$58.20 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$51.95 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers59 claims63 services$20.58 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 3

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

MRS. RAMONA LYNN GOOLSBY APRN-CNP
Nurse Practitioner (Family)
601 SE WASHINGTON ST
IDABEL, OK 74745
McCurtain County (580) 286-6699
JOSE J GOMEZ MD
Family Medicine
601 SE WASHINGTON ST
IDABEL, OK 74745
McCurtain County (580) 286-6688
TAMMY MICHELLE WILLIAMS PA-C
Physician Assistant
601 SE WASHINGTON ST
IDABEL, OK 74745
McCurtain County (580) 286-6688

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 Gordon Butzirus's NPI number?

The NPI number for Gordon Butzirus is 1366451890. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Gordon Butzirus located?

Gordon Butzirus practices at 601 SE Washington St, Idabel, OK 74745. The listed phone number is (580) 286-6688.

What is Gordon Butzirus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gordon Butzirus enrolled in Medicare?

Yes. Gordon Butzirus is registered in the Medicare PECOS enrollment system.

What insurance does Gordon Butzirus accept?

Health plans from Medica and Mending Health list Gordon Butzirus 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 Gordon Butzirus was last updated on September 3, 2015. 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.