Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAELA SOPHIA BUTLER PA-S
NPI 1457927204
Physician Assistant in Idaho Falls, ID

Q: What is Michaela Butler's NPI number?

The NPI number for Michaela Butler is 1457927204. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Q: What is Michaela Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Butler was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since June 02, 2021PECOS Enrolled

2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404(208) 419-3002(208) 656-5652 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jun 2, 2021 (2 updates tracked since 2021).

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About Michaela Sophia Butler Pa-s NPPES

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

MICHAELA SOPHIA BUTLER PA-S (NPI 1457927204) is an individual physician assistant in Idaho Falls, Idaho and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457927204

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHAELA SOPHIA BUTLERCredential: PA-S

Location Address2001 S WOODRUFF AVE STE 9Idaho Falls, ID 83404-6371

Mailing Address2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371 · (208) 419-3002 · Fax (208) 656-5652

Phone(208) 419-3002

Fax(208) 656-5652

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 2, 2021

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1457927204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404

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Secondary Practice Locations 2

Location 1600 Pioneer Rd Apt 605Rexburg, ID 83440-3790 · Phone (208) 313-0422

Location 24650 Hawthorne Rd Ste 3BChubbuck, ID 83202-2376 · Phone (208) 252-5621 · Fax (208) 648-4167

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

Michaela Sophia Butler Pa-s 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 ID5799179230

PECOS Enrollment IDI20220228001610

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 2

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.

85 services18 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

Other Providers at the Same Location NPPES 16

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

RANDALL JAMES LAW PA-C

Physician Assistant (Medical)