DR. GREGORY BUTLER M.D.
NPI 1376726091
Ophthalmology in Washington, DC

Active since December 17, 2007PECOS EnrolledAccepts Medicare Assignment
89.29/100
CMS Quality Rating
1647 BENNING RD NE, STE 205, WASHINGTON, DC 20002(202) 397-2800(202) 397-1304 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Butler M.d. NPPES

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

DR. GREGORY BUTLER M.D. (NPI 1376726091) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD30132) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1992).

NPPES Registry Identity

NPI1376726091
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GREGORY BUTLERCredential: M.D.
Location Address1647 BENNING RD NE, STE 205Washington, DC 20002-4569
Mailing Address1647 Benning Rd Ne, Ste 205Washington, DC 20002-4569 · (202) 397-2800 · Fax (202) 397-1304
Fax(202) 397-1304
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1992
Enumeration DateDecember 17, 2007
NPI 1376726091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in DC · MD30132
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1647 BENNING RD NE, Washington, DC 20002

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. Gregory 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 ID3375534415
PECOS Enrollment IDI20040519000363
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
660 services349 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
606 services428 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
588 services371 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
470 services303 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
338 services295 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
268 services241 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20002 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

89.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.66
Improvement Activities40
Cost61.69

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
100%20 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%49 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%27 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.

General Practice
1647 BENNING RD NE, #102
WASHINGTON, DC 20002
Internal Medicine (Cardiovascular Disease)
1647 BENNING RD NE, STE 201
WASHINGTON, DC 20002
Clinic/Center
1647 BENNING RD NE
WASHINGTON, DC 20002
Registered Nurse
1647 BENNING RD NE
WASHINGTON, DC 20002
Case Manager/Care Coordinator
1647 BENNING RD NE
WASHINGTON, DC 20002
Neuromusculoskeletal Medicine, Sports Medicine
1647 BENNING RD NE, SUITE #202
WASHINGTON, DC 20002
Ophthalmology
1647 BENNING RD NE, SUITE 102
WASHINGTON, DC 20002
Case Manager/Care Coordinator
1647 BENNING RD NE
WASHINGTON, DC 20002

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 Gregory Butler's NPI number?

The NPI number for Gregory Butler is 1376726091. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Gregory Butler located?

Gregory Butler practices at 1647 Benning Rd NE Ste 205, Washington, DC 20002. The listed phone number is (202) 397-2800.

What is Gregory Butler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gregory Butler enrolled in Medicare?

Yes. Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Butler was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.