BUTLER COUNTY CLINIC P C
NPI 1457311482
Family Medicine in David City, NE

Active since March 24, 2006CLIA 28D0455425 · Certificate of Compliance
336 S 9TH ST, DAVID CITY, NE 68632(402) 367-3193(402) 367-3261 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Butler County Clinic P C NPPES

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

BUTLER COUNTY CLINIC P C (NPI 1457311482) is a healthcare organization registered as a family medicine in David City, Nebraska and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 3, 2028 and lists Tori J Lavicky, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1457311482
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBUTLER COUNTY CLINIC P C
Location Address336 S 9TH STDavid City, NE 68632-2116
Mailing Address336 S 9th StDavid City, NE 68632-2116 · (402) 367-3193 · Fax (402) 367-3261
Fax(402) 367-3261
Organization SubpartNo
Authorized OfficialTori J LavickyClinic Administrator · (402) 367-3193
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1457311482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
336 S 9TH ST, David City, NE 68632

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Butler County Clinic P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Butler County Clinic P C, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1942381710
336 S 9TH ST
David City, NE 68632
(402) 367-3193
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508896911
336 S 9TH ST
David City, NE 68632
(402) 367-3193
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922368935
336 S 9TH ST
David City, NE 68632
(402) 367-3193
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1003227919
336 S 9TH ST
David City, NE 68632
(402) 367-3193
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821720350
4600 VALLEY RD STE 200
Lincoln, NE 68510
(402) 483-4571
✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 28D0455425

Butler County Clinic PC · David City, NE
Active · expires Jun 3, 2028
CLIA Number28D0455425
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorDr. Mark V. Carlson
Laboratory Phone(402) 367-3193
Laboratory LocationButler County Clinic PC336 South 9th Street, David City, NE 68632
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Butler County Clinic P C's NPI number?

The NPI number for Butler County Clinic P C is 1457311482. It was assigned to this organization in the NPPES registry on March 24, 2006.

Where is Butler County Clinic P C located?

Butler County Clinic P C is located at 336 S 9th St, David City, NE 68632. The listed phone number is (402) 367-3193.

What is Butler County Clinic P C's specialty?

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

Is Butler County Clinic P C enrolled in Medicare?

Yes. Butler County Clinic P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Butler County Clinic P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Family Practice, reassign their Medicare billing to Butler County Clinic P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Butler County Clinic P C hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 28D0455425) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Butler County Clinic P C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Butler County Clinic P C 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.

When was this NPI record last updated?

The NPPES record for Butler County Clinic P C was last updated on August 30, 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.