KELLY D. BUTTERFIELD RPA
NPI 1407980360
Physician Assistant - Surgical in Averill Park, NY

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
66 HOFFMAN RD, AVERILL PARK, NY 12018(518) 674-0504 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly D. Butterfield Rpa NPPES

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

KELLY D. BUTTERFIELD RPA (NPI 1407980360) is an individual surgical provider in Averill Park, New York, licensed in New York (003827) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1407980360
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY D. BUTTERFIELDCredential: RPA
Location Address66 HOFFMAN RDAverill Park, NY 12018-4511
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 15, 2007
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1407980360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 003827
66 HOFFMAN RD, Averill Park, NY 12018

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

Kelly D. Butterfield Rpa 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 ID4082897616
PECOS Enrollment IDI20110321000057
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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
19 services19 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

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 Kelly Butterfield's NPI number?

The NPI number for Kelly Butterfield is 1407980360. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Kelly Butterfield located?

Kelly Butterfield practices at 66 Hoffman Rd, Averill Park, NY 12018. The listed phone number is (518) 674-0504.

What is Kelly Butterfield's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelly Butterfield enrolled in Medicare?

Yes. Kelly Butterfield 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 Kelly Butterfield affiliated with any hospitals?

According to CMS data, Kelly Butterfield is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Butterfield was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.