DR. NICHOLAS BUTLER D.P.M.
NPI 1528444809
Podiatrist - Foot & Ankle Surgery in Sewell, NJ

Q: What is Nicholas Butler's NPI number?

The NPI number for Nicholas Butler is 1528444809. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Q: What is Nicholas Butler's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Butler was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment

100 KINGS WAY E STE D6, SEWELL, NJ 08080(856) 582-6082(856) 582-6083 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 15, 2020, Mar 17, 2018 (2 updates tracked since 2018).

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About Dr. Nicholas Butler D.p.m. NPPES

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

DR. NICHOLAS BUTLER D.P.M. (NPI 1528444809) is an individual foot & ankle surgery provider in Sewell, New Jersey, licensed in New Jersey (25MD00337000) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Lake Health, and maintains a secondary practice location in Stratford.

NPPES Registry Identity

NPI1528444809

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. NICHOLAS BUTLERCredential: D.P.M.

Location Address100 KINGS WAY E STE D6Sewell, NJ 08080-2238

Mailing Address100 Kings Way E Ste D6Sewell, NJ 08080-2238 · (856) 582-6082 · Fax (856) 582-6083

Phone(856) 582-6082

Fax(856) 582-6083

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2022

Enumeration DateAugust 10, 2015

Last NPPES UpdateJune 15, 20202 updates tracked since enumeration

NPPES CertifiedJune 15, 2020

✔ NPI 1528444809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NJ · 25MD00337000

100 KINGS WAY E STE D6, Sewell, NJ 08080

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Secondary Practice Location 1

Location 118 E Laurel RdStratford, NJ 08084-1327 · Phone (989) 615-3368

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Butler D.p.m. 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 ID6103171467

PECOS Enrollment IDI20220829000302

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ksu Foot & Ankle Clinic

365 mi

Podiatrist

6000 ROCKSIDE WOODS BLVD N
Independence, OH 44131

Reassigned Medicare billing, Ohio enrollment
14 clinicians in this Medicare group

NPI 1265793111 (216) 916-7369

Care Alliance

367 mi

Federally Qualified Health Center (FQHC)

6001 WOODLAND AVE
Cleveland, OH 44104

Reassigned Medicare billing, Ohio enrollment
29 clinicians in this Medicare group

NPI 1083881114 (216) 923-5000

Northern Ohio Medical Specialists LLC

419 mi

Internal Medicine

3004 HAYES AVE
Sandusky, OH 44870

Reassigned Medicare billing, Ohio enrollment
247 clinicians in this Medicare group

NPI 1225085855 (419) 609-1112

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

Areas of Expertise CMS Part B claims 5

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 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.

79 services43 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.

34 services27 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

29 services12 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

29 services21 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.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

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

Breast Cancer Screening

0%150 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%161 patients1/55-star benchmark: 98%

Diabetes: Eye Exam

0%78 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%78 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

71%807 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%155 patients1/55-star benchmark: 100%

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

18%428 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%439 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%768 patients2/55-star benchmark: 61%

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

Patients screened: 2% · 269 patients

1%269 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%86 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 164 patients

Patients totalRate: 0% · 164 patients

0%164 patients5/55-star benchmark: 100%

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.

Other Providers at the Same Location NPPES 4

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

DR. ABIGAIL MARIE GUMPPER DPM

Podiatrist (Foot & Ankle Surgery)

100 KINGS WAY E STE D6
SEWELL, NJ 08080

Gloucester County (856) 582-6082

DR. WILLIAM LEONARD MURRAY III DPM

Podiatrist (Foot & Ankle Surgery)

100 KINGS WAY E STE D6
SEWELL, NJ 08080

Gloucester County (856) 582-6082

RYAN ANDREWS DPM

Podiatrist (Foot & Ankle Surgery)

100 KINGS WAY E STE D6
SEWELL, NJ 08080

Gloucester County (856) 582-6082

ROBERT J WARKALA DPM

Podiatrist (Foot & Ankle Surgery)

100 KINGS WAY E STE D6
SEWELL, NJ 08080

Gloucester County (856) 582-6082

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 Nicholas Butler's NPI number?

The NPI number for Nicholas Butler is 1528444809. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Nicholas Butler located?

Nicholas Butler practices at 100 Kings Way E Ste D6, Sewell, NJ 08080. The listed phone number is (856) 582-6082.

What is Nicholas Butler's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nicholas Butler enrolled in Medicare?

Yes. Nicholas 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.

Which organizations bill Medicare for Nicholas Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Butler reassigns Medicare benefits to 3 organizations: Ksu Foot & Ankle Clinic (Independence, OH), Care Alliance (Cleveland, OH) and Northern Ohio Medical Specialists LLC (Sandusky, OH). Each 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 Nicholas Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 3 other insurers list Nicholas 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 Nicholas Butler affiliated with any hospitals?

According to CMS data, Nicholas Butler is affiliated with Lake Health.

When was this NPI record last updated?

The NPPES record for Nicholas Butler was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.