MEGAN M BUTLER MD
NPI 1437736642
Family Medicine in Plymouth, WI

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
825 WALTON DR, PLYMOUTH, WI 53073(920) 496-4700 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2024, Oct 30, 2023, Oct 26, 2023 and 1 more (4 updates tracked since 2021).

About Megan M Butler Md NPPES

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

MEGAN M BUTLER MD (NPI 1437736642) is an individual family medicine provider in Plymouth, Wisconsin, licensed in Wisconsin (81121-20) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Medical College Of Wisconsin (2021).

NPPES Registry Identity

NPI1437736642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGAN M BUTLERCredential: MD
Location Address825 WALTON DRPlymouth, WI 53073-5022
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1437736642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81121-20
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.

825 WALTON DR, Plymouth, WI 53073

Other Names 1

Former Name (1)Megan M Cory Md

Other Identifiers 1

Medicaid100219836WI

Accepted Insurance

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

Megan M Butler Md 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 ID2466821137
PECOS Enrollment IDI20240924000151
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.

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53073 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner
825 WALTON DR
PLYMOUTH, WI 53073
Occupational Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Primary Care)
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Family)
825 WALTON DR
PLYMOUTH, WI 53073
Family Medicine
825 WALTON DR
PLYMOUTH, WI 53073

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 Megan Butler's NPI number?

The NPI number for Megan Butler is 1437736642. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Megan Butler located?

Megan Butler practices at 825 Walton Dr, Plymouth, WI 53073. The listed phone number is (920) 496-4700.

What is Megan Butler's specialty?

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

Is Megan Butler enrolled in Medicare?

Yes. Megan 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.

What insurance does Megan Butler accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Megan Butler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Butler affiliated with any hospitals?

According to CMS data, Megan Butler is affiliated with St Nicholas Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Megan Butler was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.