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DR. TONI C. BUTLER M.D.
NPI 1629246376
Surgery in New York, NY

Active since February 15, 2008PECOS Enrolled
1617 3RD AVE, NEW YORK, NY 10128(212) 828-8927 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Toni C. Butler M.d. NPPES

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

DR. TONI C. BUTLER M.D. (NPI 1629246376) is an individual surgery provider in New York, New York, licensed in New York (240549) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629246376
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. TONI C. BUTLERCredential: M.D.
Location Address1617 3RD AVENew York, NY 10128-9400
Mailing Address1617 3rd AveNew York, NY 10128-9400 · (212) 828-8927
Phone(212) 828-8927
Sole ProprietorNo
Enumeration DateFebruary 15, 2008
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1629246376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 240549
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME142413 (FL)
1617 3RD AVE, New York, NY 10128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Toni C. Butler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Toni Butler's NPI number?

The NPI number for Toni Butler is 1629246376. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is Toni Butler located?

Toni Butler practices at 1617 3rd Ave, New York, NY 10128. The listed phone number is (212) 828-8927.

What is Toni Butler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Toni Butler enrolled in Medicare?

Yes. Toni Butler is registered in the Medicare PECOS enrollment system.

What insurance does Toni Butler accept?

Health plans from Oscar Health Maintenance Organization of Florida list Toni 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.

When was this NPI record last updated?

The NPPES record for Toni Butler was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.