TODD M BUTLER MD
NPI 1710964994
Internal Medicine in Cedar Rapids, IA

Q: What is Todd Butler's NPI number?

The NPI number for Todd Butler is 1710964994. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Todd Butler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Butler was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402(319) 362-0200(319) 399-5186 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Todd M Butler Md NPPES

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

TODD M BUTLER MD (NPI 1710964994) is an individual internal medicine provider in Cedar Rapids, Iowa, licensed in Iowa (31218) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Toledo College Of Medicine (1993).

NPPES Registry Identity

NPI1710964994

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTODD M BUTLERCredential: MD

Location Address855 A AVE NE, SUITE 100Cedar Rapids, IA 52402-5057

Mailing Address855 A Ave Ne, Suite 100Cedar Rapids, IA 52402-5057 · (319) 362-0200 · Fax (319) 399-5186

Phone(319) 362-0200

Fax(319) 399-5186

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1993

Enumeration DateDecember 28, 2005

Last NPPES UpdateMay 22, 2012

✔ NPI 1710964994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IA · 31218

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

855 A AVE NE, Cedar Rapids, IA 52402

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Other Identifiers 5

Other110141369IA · Rr Medicare

Medicaid1710964994IA

Medicare UPING28934IA

Medicare PIN54458IA

Medicaid0138263IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Todd M Butler 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 ID8921134321

PECOS Enrollment IDI20100324000956

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 14

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.

971 services432 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

357 services357 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.

349 services243 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

125 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

79 services79 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

74 services74 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

66 services55 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

46 services46 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

42 services42 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

41 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

22 services22 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.

22 services21 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Jones Regional Medical Center

Critical Access Hospitals · Anamosa, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161306

Location1795 Highway 64 EastAnamosa, IA 52205 · Jones County

Emergency services

Virginia Gay Hospital

Critical Access Hospitals · Vinton, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161349

Location502 North 9th AvenueVinton, IA 52349 · Benton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

24 suppliers135 claims286 services$5.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers33 claims33 services$0.92 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers17 claims17 services$33.89 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers33 claims33 services$84.61 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers41 claims93 services$32.65 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers25 claims128 services$19.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

BARBARA JEAN PATSCHKE ISW

Social Worker (Clinical)

855 A AVE NE
CEDAR RAPIDS, IA 52402

Linn County (319) 369-7091

DR. CARRIE CHRISTINE TEAHEN DDS

Dentist (General Practice)

855 A AVE NE, SUITE LL1
CEDAR RAPIDS, IA 52402

Linn County (319) 369-7730

STACI L WEDEL MD

Pediatrics

855 A AVE NE, SUITE 300
CEDAR RAPIDS, IA 52402

Linn County (319) 368-9300

ST LUKES METHODIST HOSPITAL

Durable Medical Equipment & Medical Supplies

855 A AVE NE, STE 110
CEDAR RAPIDS, IA 52402

Linn County (319) 369-5114

MARY I HORN ARNP

Nurse Practitioner

855 A AVE NE, SUITE 300
CEDAR RAPIDS, IA 52402

Linn County (319) 368-9300

JODI SWENDER ARNP

Nurse Practitioner (Obstetrics & Gynecology)

855 A AVE NE
CEDAR RAPIDS, IA 52402

Linn County (319) 368-5500

ASHLEY A DEGEETER

Nurse Practitioner

855 A AVE NE
CEDAR RAPIDS, IA 52402

Linn County (319) 363-3565

LAUREN MARIE HELLE ARNP (FNP-C)

Nurse Practitioner (Women's Health)

855 A AVE NE
CEDAR RAPIDS, IA 52402

Linn County (319) 391-5501

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 Todd Butler's NPI number?

The NPI number for Todd Butler is 1710964994. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Todd Butler located?

Todd Butler practices at 855 A Ave NE Suite 100, Cedar Rapids, IA 52402. The listed phone number is (319) 362-0200.

What is Todd Butler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Todd Butler enrolled in Medicare?

Yes. Todd 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 Todd Butler accept?

Health plans from Medica list Todd 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 Todd Butler affiliated with any hospitals?

According to CMS data, Todd Butler is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids, Jones Regional Medical Center and Virginia Gay Hospital.

When was this NPI record last updated?

The NPPES record for Todd Butler was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.