MR. JOHN L BUTSCH M.D.
NPI 1396810172
Surgery in Buffalo, NY

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
100 HIGH ST, DEPT. OF SURGERY, BUFFALO, NY 14203(716) 859-4024(716) 859-4580 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John L Butsch M.d. NPPES

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

MR. JOHN L BUTSCH M.D. (NPI 1396810172) is an individual surgery provider in Buffalo, New York, licensed in New York (254778) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1996).

NPPES Registry Identity

NPI1396810172
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JOHN L BUTSCHCredential: M.D.
Location Address100 HIGH ST, DEPT. OF SURGERYBuffalo, NY 14203-1126
Mailing AddressPo Box 8000, Dept. #313Buffalo, NY 14267-0002 · (716) 898-5227 · Fax (716) 898-5029
Fax(716) 859-4580
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1996
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 22, 2010
NPI 1396810172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NY · 254778 Licensed in IL · 36105077
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 HIGH ST, Buffalo, NY 14203

Other Identifiers 2

Medicare UPINH46975
Medicaid03162943NY

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

Mr. John L Butsch 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 ID42359085
PECOS Enrollment IDI20091203000555
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost68.86

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.

Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203

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 John Butsch's NPI number?

The NPI number for John Butsch is 1396810172. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is John Butsch located?

John Butsch practices at 100 High St Dept. Of Surgery, Buffalo, NY 14203. The listed phone number is (716) 859-4024.

What is John Butsch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Butsch enrolled in Medicare?

Yes. John Butsch 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.

Is John Butsch affiliated with any hospitals?

According to CMS data, John Butsch is affiliated with Kaleida Health, Olean General Hospital, Mount St. Mary's Hospital & Health Center and Brooks-Tlc Hospital System, Inc.

When was this NPI record last updated?

The NPPES record for John Butsch was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.