MUHAMMAD UMAR BUTT MD
NPI 1619203403
Surgery - Surgical Oncology in Plano, TX

Q: What is Muhammad Butt's NPI number?

The NPI number for Muhammad Butt is 1619203403. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Muhammad Butt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Muhammad Butt was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 29, 2009PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4001 W 15TH ST STE 425, PLANO, TX 75093(972) 696-0030(972) 696-0037 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2022, Oct 10, 2019, Jun 6, 2019 and 5 more (8 updates tracked since 2016).

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About Muhammad Umar Butt Md NPPES

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

MUHAMMAD UMAR BUTT MD (NPI 1619203403) is an individual surgical oncology provider in Plano, Texas, licensed in Texas (Q4911) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1619203403

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameMUHAMMAD UMAR BUTTCredential: MD

Location Address4001 W 15TH ST STE 425Plano, TX 75093-5848

Mailing Address4001 W 15th St Ste 425Plano, TX 75093-5848 · (972) 696-0030 · Fax (972) 696-0037

Phone(972) 696-0030

Fax(972) 696-0037

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 29, 2009

Last NPPES UpdateAugust 9, 20228 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1619203403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in TX · Q4911

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License Q4911 (TX)

4001 W 15TH ST STE 425, Plano, TX 75093

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Secondary Practice Locations 6

Location 14001 W 15th St Ste 425Plano, TX 75093-5848 · Phone (972) 696-0030 · Fax (972) 696-0037

Location 24510 Medical Center Dr Ste 302McKinney, TX 75069-1603 · Phone (972) 696-0030 · Fax (972) 696-0037

Location 33537 S Interstate 35 E Ste 220Denton, TX 76210-6813 · Phone (972) 696-0030 · Fax (972) 696-0037

Location 46750 N MacArthur Blvd Ste 257Irving, TX 75039-2875 · Phone (972) 696-0030 · Fax (972) 696-0037

Location 55680 Frisco Square Blvd Ste 2500Frisco, TX 75034-3315 · Phone (972) 696-0030 · Fax (972) 696-0037

Location 67777 Forest Ln Ste B-2016Dallas, TX 75230-2571 · Phone (972) 696-0030 · Fax (972) 696-0037

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

Muhammad Umar Butt 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 ID7012298565

PECOS Enrollment IDI20161221001882

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.

129 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

52 services47 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.

29 services29 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.

29 services24 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450403

Location4500 Medical Center DriveMckinney, TX 75069 · Collin County

Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450771

Location6200 W Parker RdPlano, TX 75093 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

100/100

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

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

100%49 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%166 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 7

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

FRED S LEE M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)