SEAN THOMAS BUTTERBAUGH MD
NPI 1598226490
Psychiatry & Neurology - Psychiatry in Lexington, KY

Q: What is Sean Butterbaugh's NPI number?

The NPI number for Sean Butterbaugh is 1598226490. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Sean Butterbaugh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sean Butterbaugh was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment

3581 HARRODSBURG RD STE 350, LEXINGTON, KY 40513(859) 313-6333(859) 313-3484 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Jul 17, 2023, Jun 13, 2023 (3 updates tracked since 2023).

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About Sean Thomas Butterbaugh Md NPPES

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

SEAN THOMAS BUTTERBAUGH MD (NPI 1598226490) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (57796) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2019).

NPPES Registry Identity

NPI1598226490

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSEAN THOMAS BUTTERBAUGHCredential: MD

Location Address3581 HARRODSBURG RD STE 350Lexington, KY 40513-1140

Mailing AddressPo Box 936London, KY 40743-0936

Phone(859) 313-6333

Fax(859) 313-3484

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1598226490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in KY · 57796

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3581 HARRODSBURG RD STE 350, Lexington, KY 40513

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sean Thomas Butterbaugh 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 ID5890023204

PECOS Enrollment IDI20230821003435

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 Reassignment

Medicare enrollment records show Sean Butterbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentuckyone Health Medical Group, Inc.

3.0 mi

Family Medicine

1401 HARRODSBURG RD
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
250 clinicians in this Medicare group

NPI 1104875970 (606) 330-7835

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 3

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.

93 services18 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

87 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $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.

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.

DR. ANDREA LE ANN LYONS M.D.

Internal Medicine