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CHARLES RODNEY BUTLER III D.O.
NPI 1417058066
Family Medicine in Saint Peter, MN

Active since September 26, 2006PECOS Enrolled
100 FREEMAN DR, SAINT PETER, MN 56082(507) 931-7125(507) 931-7126 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Rodney Butler Iii D.o. NPPES

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

CHARLES RODNEY BUTLER III D.O. (NPI 1417058066) is an individual family medicine provider in Saint Peter, Minnesota, licensed in Minnesota (39742) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417058066
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES RODNEY BUTLER IIICredential: D.O.
Location Address100 FREEMAN DRSaint Peter, MN 56082-3504
Mailing Address100 Freeman DrSaint Peter, MN 56082-3504 · (507) 985-2111 · Fax (507) 931-7126
Phone(507) 931-7125
Fax(507) 931-7126
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 14, 2014
✔ NPI 1417058066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 39742
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 FREEMAN DR, Saint Peter, MN 56082
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Other Identifiers 5

Other228G3BUMN · Blue Cross/blue Shield
Medicare ID-Type Unspecified080007592MN · Mpin # - Medicare Part B
Other1417058066Npi
Medicare UPING58811MN
Medicaid672025100MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Rodney Butler Iii D.o. 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 56082 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEFANIA FARACA
Pharmacist
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2000
CARLY BEHNKE
Nurse Practitioner (Psychiatric/Mental Health)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2832
NICOLE MARIAH GOETTL MORALES LICSW
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2373
TRACY LYNN OPIE
Counselor (Professional)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2446
MELANIE JEAN WURTZBERGER
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2686
REBECCA ROBINSON-WARGELIN
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2144
DIRECT CARE AND TREATMENT - FORENSIC SERVICES
Psychiatric Residential Treatment Facility
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2000
STACY RUTT LICSW
Social Worker (Clinical)
100 FREEMAN DR
SAINT PETER, MN 56082
Nicollet County (507) 985-2902

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 Charles Butler's NPI number?

The NPI number for Charles Butler is 1417058066. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Charles Butler located?

Charles Butler practices at 100 Freeman Dr, Saint Peter, MN 56082. The listed phone number is (507) 931-7125.

What is Charles Butler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Butler enrolled in Medicare?

Yes. Charles Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Butler was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.