DR. MARC J BUTCHER D.P.M
NPI 1619065398
Podiatrist in Grove City, PA

Q: What is Marc Butcher's NPI number?

The NPI number for Marc Butcher is 1619065398. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Marc Butcher's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Butcher was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 10, 2006PECOS EnrolledAccepts Medicare Assignment

89.88/100

CMS Quality Rating

742 N BROAD STREET EXT, GROVE CITY, PA 16127(724) 458-6245(724) 458-6244 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Nov 12, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Marc J Butcher D.p.m NPPES

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

DR. MARC J BUTCHER D.P.M (NPI 1619065398) is an individual podiatrist in Grove City, Pennsylvania, licensed in Pennsylvania (SC007054) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619065398

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. MARC J BUTCHERCredential: D.P.M

Location Address742 N BROAD STREET EXTGrove City, PA 16127-4612

Mailing Address742 N Broad Street ExtGrove City, PA 16127-4612 · (724) 458-6245 · Fax (724) 458-6244

Phone(724) 458-6245

Fax(724) 458-6244

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2004

Enumeration DateOctober 10, 2006

Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1619065398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Licenses✔ Licensed in PA · SC007054✔ Licensed in MN · 828✔ Licensed in NY · N006219

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 828 (MN), N006219 (NY)

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License N006219 (NY), 828 (MN)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License N006219 (NY), 828 (MN)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License N006219 (NY)

742 N BROAD STREET EXT, Grove City, PA 16127

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Secondary Practice Locations 3

Location 1801 1/2 E DuBois AveDu Bois, PA 15801-3635 · Phone (814) 375-8882 · Fax (814) 375-1159

Location 21906 Wilmington Rd Ste 2New Castle, PA 16105-1945 · Phone (724) 654-3182 · Fax (724) 981-1658

Location 3244 N Findley StPunxsutawney, PA 15767-2021 · Phone (814) 938-1770 · Fax (814) 938-1771

Accepted Insurance

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

Dr. Marc J Butcher 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 ID6800986910

PECOS Enrollment IDI20191113000762

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 17

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.

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.

1,257 services587 patients

Removal of fingernails or toenails, 6 or more nails 11721

344 services139 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

180 services110 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.

152 services152 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

136 services93 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

74 services63 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.

69 services12 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.

59 services40 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

43 services43 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

34 services34 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

33 services18 patients

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

31 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

26 services12 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

23 services23 patients

Removal of noncancer thickened skin growth, 1 growth 11055

22 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

22 services11 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390199

Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County

Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16127 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

89.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

61.02

Improvement Activities

Other Providers at the Same Location NPPES 3

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

DELTA FOOT AND ANKLE CENTER, LLC

Podiatrist

742 N BROAD STREET EXT
GROVE CITY, PA 16127

Mercer County (814) 375-8882

EMILY R MERRIMAN

Podiatrist (Foot & Ankle Surgery)

742 N BROAD STREET EXT
GROVE CITY, PA 16127

Mercer County (814) 375-8882

DAWN YVONNE STEIN DPM

Podiatrist (Foot Surgery)

742 N BROAD STREET EXT
GROVE CITY, PA 16127

Mercer County (724) 458-6245

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 Marc Butcher's NPI number?

The NPI number for Marc Butcher is 1619065398. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Marc Butcher located?

Marc Butcher practices at 742 N Broad Street Ext, Grove City, PA 16127. The listed phone number is (724) 458-6245.

What is Marc Butcher's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Marc Butcher enrolled in Medicare?

Yes. Marc Butcher 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.

What insurance does Marc Butcher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marc Butcher 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 Marc Butcher affiliated with any hospitals?

According to CMS data, Marc Butcher is affiliated with Penn Highlands Dubois, Punxsutawney Area Hospital, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Marc Butcher was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.