DR. PAUL BUTLER MD
NPI 1457672719
Orthopaedic Surgery in Ankeny, IA

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
350 NE 36TH ST, ANKENY, IA 50021(515) 224-1414(515) 224-5140 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 29, 2022, Nov 26, 2019, Aug 21, 2016 (3 updates tracked since 2016).

About Dr. Paul Butler Md NPPES

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

DR. PAUL BUTLER MD (NPI 1457672719) is an individual orthopaedic surgery provider in Ankeny, Iowa, licensed in Iowa (MD-43448) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2010).

NPPES Registry Identity

NPI1457672719
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL BUTLERCredential: MD
Location Address350 NE 36TH STAnkeny, IA 50021-6728
Mailing Address350 Ne 36th St Ste 213Ankeny, IA 50021-6728 · (515) 224-1414 · Fax (515) 224-5140
Fax(515) 224-5140
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2010
Enumeration DateJune 21, 2010
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1457672719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IA · MD-43448
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
350 NE 36TH ST, Ankeny, IA 50021

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

Dr. Paul 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 ID3870722366
PECOS Enrollment IDI20160809002130
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 14

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
191 services136 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.
170 services139 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
150 services90 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
98 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
88 services84 patients
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.
82 services73 patients

Hospital Affiliations CMS Care Compare

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50021 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier14 claims28 services$2.92 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$2.22 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$24.41 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers30 claims30 services$206.99 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.

Durable Medical Equipment & Medical Supplies
350 NE 36TH ST
ANKENY, IA 50021
Physician Assistant
350 NE 36TH ST
ANKENY, IA 50021
Physician Assistant
350 NE 36TH ST
ANKENY, IA 50021
Occupational Therapist
350 NE 36TH ST
ANKENY, IA 50021
Orthopaedic Surgery
350 NE 36TH ST
ANKENY, IA 50021
Orthopaedic Surgery
350 NE 36TH ST
ANKENY, IA 50021
Physical Therapist
350 NE 36TH ST
ANKENY, IA 50021
Physician Assistant
350 NE 36TH ST
ANKENY, IA 50021

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 Paul Butler's NPI number?

The NPI number for Paul Butler is 1457672719. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Paul Butler located?

Paul Butler practices at 350 NE 36th St, Ankeny, IA 50021. The listed phone number is (515) 224-1414.

What is Paul Butler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Butler enrolled in Medicare?

Yes. Paul 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 Paul Butler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Paul 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 Paul Butler affiliated with any hospitals?

According to CMS data, Paul Butler is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi.

When was this NPI record last updated?

The NPPES record for Paul Butler was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.