ROBERT E BUTLER M.D.
NPI 1477646917
Otolaryngology in Austin, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
79.95/100
CMS Quality Rating
4315 JAMES CASEY ST, SUITE 300, AUSTIN, TX 78745(512) 444-7944(512) 444-7946 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert E Butler M.d. NPPES

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

ROBERT E BUTLER M.D. (NPI 1477646917) is an individual otolaryngology provider in Austin, Texas, licensed in Texas (K5842) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Texas Medical Branch At Galveston (1992).

NPPES Registry Identity

NPI1477646917
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameROBERT E BUTLERCredential: M.D.
Location Address4315 JAMES CASEY ST, SUITE 300Austin, TX 78745-3365
Mailing Address3705 Medical Pkwy, Suite 320Austin, TX 78705-1019 · (512) 454-0392 · Fax (512) 454-1233
Fax(512) 444-7946
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1992
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 13, 2012
NPI 1477646917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · K5842
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4315 JAMES CASEY ST, Austin, TX 78745

Other Identifiers 5

Medicare PIN88691JTX
Medicaid100911002TX
Medicare PIN8065K0TX
Other88691JBcbs
Medicaid8517930WA

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

Robert E Butler M.d. 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 ID5193888287
PECOS Enrollment IDI20091205000100
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 19

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,470 services84 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
930 services63 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.
276 services217 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.
161 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
113 services113 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
89 services78 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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.

79.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.73
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%55 patients
Advance Care Plan
46%1,015 patients2/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%25 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%2,025 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%2,546 patients4/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
91%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$33.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers17 claims17 services$73.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims45 services$27.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers14 claims14 services$48.01 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers21 claims21 services$14.90 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers14 claims14 services$9.89 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 10

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

Audiologist
4315 JAMES CASEY ST, SUITE. 300
AUSTIN, TX 78745
Obstetrics & Gynecology
4315 JAMES CASEY ST, SUITE 200
AUSTIN, TX 78745
Audiologist
4315 JAMES CASEY ST, SUITE 300
AUSTIN, TX 78745
Otolaryngology
4315 JAMES CASEY ST, SUITE 300
AUSTIN, TX 78745
Otolaryngology
4315 JAMES CASEY ST, SUITE 300
AUSTIN, TX 78745
Physician Assistant
4315 JAMES CASEY ST, SUITE 300
AUSTIN, TX 78745
Obstetrics & Gynecology
4315 JAMES CASEY ST, SUITE 200
AUSTIN, TX 78745
Speech-Language Pathologist
4315 JAMES CASEY ST, SUITE 300
AUSTIN, TX 78745

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 Robert Butler's NPI number?

The NPI number for Robert Butler is 1477646917. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Robert Butler located?

Robert Butler practices at 4315 James Casey St Suite 300, Austin, TX 78745. The listed phone number is (512) 444-7944.

What is Robert Butler's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Robert Butler enrolled in Medicare?

Yes. Robert 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 Robert Butler affiliated with any hospitals?

According to CMS data, Robert Butler is affiliated with Ascension Seton Medical Center Austin, St David's South Austin Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Robert Butler was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.