LEROY BUTLER DO
NPI 1528347234
Orthopaedic Surgery - Foot and Ankle Surgery in Frisco, TX

Q: What is Leroy Butler's NPI number?

The NPI number for Leroy Butler is 1528347234. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Q: What is Leroy Butler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Leroy Butler was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment

5575 WARREN PKWY STE 115, FRISCO, TX 75034(972) 616-4000(972) 591-6469 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2021, Apr 16, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Leroy Butler Do NPPES

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

LEROY BUTLER DO (NPI 1528347234) is an individual foot and ankle surgery provider in Frisco, Texas, licensed in Texas (R3481) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Texas Health Hospital Frisco, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528347234

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameLEROY BUTLERCredential: DO

Location Address5575 WARREN PKWY STE 115Frisco, TX 75034-4063

Mailing Address5575 Warren Pkwy Ste 115Frisco, TX 75034-4063 · (972) 616-4000 · Fax (972) 591-6469

Phone(972) 616-4000

Fax(972) 591-6469

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2011

Enumeration DateAugust 11, 2011

Last NPPES UpdateSeptember 8, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1528347234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

Licenses✔ Licensed in TX · R3481✔ Licensed in NV · DO2046

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 34 (TN)

5575 WARREN PKWY STE 115, Frisco, TX 75034

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Secondary Practice Locations 2

Location 14031 W Plano Pkwy Ste 100Plano, TX 75093-5617 · Phone (972) 985-1072 · Fax (972) 964-3469

Location 22800 E Desert Inn Rd Ste 100Las Vegas, NV 89121 · Phone (702) 731-1616 · Fax (702) 731-0741

Other Identifiers 1

Medicaid1528347234NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Leroy Butler Do 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 ID1153613369

PECOS Enrollment IDI20170829001289

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 8

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.

109 services53 patients

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.

90 services28 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.

79 services37 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.

70 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

29 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670260

Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County

Emergency services Birthing friendly

Legent Orthopedic Hospital

Acute Care Hospitals · Carrollton, TX

OwnershipProprietary

CMS Certification Number670265

Location1401 E Trinity Mills RoadCarrollton, TX 75006 · Dallas County

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%1,460 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

25%459 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 92% · 265 patients

86%265 patients4/55-star benchmark: 98%

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

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

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

1 supplier12 claims12 services$213.95 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 12

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

MRS. NATALIE BRIDGES NP

Nurse Practitioner (Family)