STACY BUTLER M.D.
NPI 1659799385
Obstetrics & Gynecology in Loma Linda, CA

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
11370 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-2806(909) 558-2450 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Feb 15, 2021, Dec 13, 2019 (3 updates tracked since 2019).

About Stacy Butler M.d. NPPES

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

STACY BUTLER M.D. (NPI 1659799385) is an individual obstetrics & gynecology provider in Loma Linda, California, licensed in California (C206164) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1659799385
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTACY BUTLERCredential: M.D.
Location Address11370 ANDERSON STLoma Linda, CA 92354-3450
Mailing Address11175 Campus St, Cp-11105Loma Linda, CA 92350-1700 · (909) 651-5951 · Fax (909) 651-5401
Fax(909) 558-2450
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1659799385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CA · C206164 Licensed in OR · MD187004
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11370 ANDERSON ST, Loma Linda, CA 92354

Accepted 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

Stacy Butler M.d. 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 ID7113223074
PECOS Enrollment IDI20260313002011
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.

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 19

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

Pediatrics
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Surgery
11370 ANDERSON ST, STE. 2100
LOMA LINDA, CA 92354
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11370 ANDERSON ST, STE 2100
LOMA LINDA, CA 92354
Otolaryngology
11370 ANDERSON ST, STE 2100
LOMA LINDA, CA 92354
Surgery
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
Ophthalmology
11370 ANDERSON ST, SUITE 1800
LOMA LINDA, CA 92354
Pediatrics
11370 ANDERSON ST, SUITE B-100
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11370 ANDERSON ST
LOMA LINDA, CA 92354

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 Stacy Butler's NPI number?

The NPI number for Stacy Butler is 1659799385. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Stacy Butler located?

Stacy Butler practices at 11370 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-2806.

What is Stacy Butler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stacy Butler enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Butler accept?

Health plans from Providence Health Plan list Stacy 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 Stacy Butler affiliated with any hospitals?

According to CMS data, Stacy Butler is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Butler was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.