DR. CARINA L BUTLER M.D.
NPI 1366488496
Radiology - Diagnostic Radiology in Edina, MN

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1100 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carina L Butler M.d. NPPES

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

DR. CARINA L BUTLER M.D. (NPI 1366488496) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Kentucky (36037) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1366488496
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CARINA L BUTLERCredential: M.D.
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address1218 S Broadway, Ste 310Lexington, KY 40504-2756 · (859) 219-0542 · Fax (859) 219-9433
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1366488496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in KY · 36037
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR STE 800, Edina, MN 55435

Secondary Practice Location 1

Location 11218 S Broadway, Ste 310Lexington, KY 40504-2756 · Phone (859) 219-0542 · Fax (859) 219-9433

Accepted 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

Dr. Carina L Butler M.d. 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 ID547234726
PECOS Enrollment IDI20040824000077
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 Reassignments

15

Medicare enrollment records show Carina Butler reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, Kentucky enrollment
  • 18 clinicians in this Medicare group
Critical Access
403 1ST ST SE
Belmond, IA 50421
  • Reassigned Medicare billing, Iowa enrollment
  • 192 clinicians in this Medicare group
Critical Access
1316 S MAIN ST
Clarion, IA 50525
  • Reassigned Medicare billing, Iowa enrollment
  • 193 clinicians in this Medicare group
Internal Medicine
1000 S 12TH ST
Murray, KY 42071
  • Reassigned Medicare billing, Kentucky enrollment
  • 70 clinicians in this Medicare group
Diagnostic Radiology
651 PERIMETER DR STE 690
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 19 clinicians in this Medicare group
Diagnostic Radiology
2 W CRESCENT PARK
Warren, PA 16365
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Family Medicine
116 INTERSTATE PKWY
Bradford, PA 16701
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Kentucky and Texas enrollments
  • Also billed through NPI 1487811766 (Texas)
  • 12 clinicians in this Medicare group
Critical Access
20 HARTFORD ST
Houlton, ME 04730
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1508823741 (Maine)
  • 169 clinicians in this Medicare group

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 91

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,946 services1,313 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
409 services390 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
393 services380 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
309 services260 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
185 services179 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
166 services159 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,751 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435

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 Carina Butler's NPI number?

The NPI number for Carina Butler is 1366488496. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Carina Butler located?

Carina Butler practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.

What is Carina Butler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Carina Butler enrolled in Medicare?

Yes. Carina Butler 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 organizations bill Medicare for Carina Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carina Butler reassigns Medicare benefits to 15 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Belmond Community Hospital (Belmond, IA), Iowa Specialty Hospital- Clarion (Clarion, IA), Vmd Primary Providers Central Kentucky (Murray, KY), Central Kentucky Radiology PLLC (Lexington, KY) and 10 more organizations, listed in the Medicare section above. Each 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 Carina Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carina Butler accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Health and 3 other insurers list Carina Butler 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.

Is Carina Butler affiliated with any hospitals?

According to CMS data, Carina Butler is affiliated with Saint Joseph Hospital, Saint Joseph London, Harrison Memorial Hospital, Rockcastle County Hospital, Inc. and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Carina Butler was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.