DR. SEAN PATRICK BUTLER D.O.
NPI 1437455714
Physical Medicine & Rehabilitation in Doylestown, PA

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment
79.56/100
CMS Quality Rating
800 W STATE ST, SUITE 202, DOYLESTOWN, PA 18901(215) 348-3068(215) 348-7428 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sean Patrick Butler D.o. NPPES

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

DR. SEAN PATRICK BUTLER D.O. (NPI 1437455714) is an individual physical medicine & rehabilitation provider in Doylestown, Pennsylvania, licensed in Pennsylvania (OS015407) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2007).

NPPES Registry Identity

NPI1437455714
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. SEAN PATRICK BUTLERCredential: D.O.
Location Address800 W STATE ST, SUITE 202Doylestown, PA 18901-2250
Mailing Address800 W State St, Suite 202Doylestown, PA 18901-2250 · (215) 348-3068 · Fax (215) 348-7428
Fax(215) 348-7428
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2007
Enumeration DateFebruary 2, 2011
Last NPPES UpdateMay 4, 2012
NPI 1437455714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · OS015407
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
800 W STATE ST, Doylestown, PA 18901

Other Identifiers 2

Other2596431PA · Highmark Blue Shield
Medicare PIN220235PA

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. Sean Patrick Butler D.o. 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 ID9931377272
PECOS Enrollment IDI20110712000688
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 17

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.
892 services501 patients
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.
332 services284 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
270 services175 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
214 services127 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
149 services149 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
136 services90 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

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.

79.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.5
Promoting Interoperability85
Improvement Activities40
Cost72.88

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
2 suppliers21 claims21 services$198.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Voluntary or Charitable
800 W STATE ST, SUITE 302
DOYLESTOWN, PA 18901
Family Medicine
800 W STATE ST, STE. 102
DOYLESTOWN, PA 18901
Orthopaedic Surgery
800 W STATE ST, SUITE 202
DOYLESTOWN, PA 18901
In Home Supportive Care
800 W STATE ST, SUITE 103
DOYLESTOWN, PA 18901
Counselor (Professional)
800 W STATE ST, SUITE 303
DOYLESTOWN, PA 18901
Specialist
800 W STATE ST, SUITE 202
DOYLESTOWN, PA 18901
Home Health
800 W STATE ST, STE 103
DOYLESTOWN, PA 18901
Marriage & Family Therapist
800 W STATE ST, SUITE 303
DOYLESTOWN, PA 18901

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 Sean Butler's NPI number?

The NPI number for Sean Butler is 1437455714. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Sean Butler located?

Sean Butler practices at 800 W State St Suite 202, Doylestown, PA 18901. The listed phone number is (215) 348-3068.

What is Sean Butler's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Sean Butler enrolled in Medicare?

Yes. Sean 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.

Is Sean Butler affiliated with any hospitals?

According to CMS data, Sean Butler is affiliated with Hospital Of Univ Of Pennsylvania, Doylestown Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Butler was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.