TODD M BUTLER MD NPI 1710964994

Internal Medicine in Cedar Rapids, IA

NPI 1710964994 Individual Male Years of Experience 28 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About TODD BUTLER

Todd Butler is an internal medicine provider established in Cedar Rapids, Iowa and his medical specialization is internal medicine with more than 28 years of experience. He graduated from University Of Toledo College Of Medicine in 1993. The NPI number of Todd Butler is 1710964994 and was assigned on December 2005. The practitioner's primary taxonomy code is 207R00000X with license number 31218 (IA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

An internist like Todd M Butler Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Todd Butler is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Todd Butler is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Lukes Hospital and Mercy Medical Center - Cedar Rapids.

NPI

1710964994

Provider Name TODD M BUTLER MD
Provider Location Address855 A AVE NE SUITE 100 CEDAR RAPIDS, IA 52402
Provider Mailing Address855 A AVE NE SUITE 100 CEDAR RAPIDS, IA 52402
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-28-2005
Last Update Date05-22-2012


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.31218
License StateIA
Taxonomy DescriptionA 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.

Business Address

TODD M BUTLER MD
855 A AVE NE
SUITE 100
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 362-0200
Fax: (319) 399-5186

Get Directions


Mailing Address

TODD M BUTLER MD
855 A AVE NE
SUITE 100
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 362-0200
Fax: (319) 399-5186



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8921134321
PECOS Enrollment IDI20100324000956
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 126Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 118Administration of pneumococcal vaccine (HCPCS:G0009)
  • 101Administration of influenza virus vaccine (HCPCS:G0008)
  • 29Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 27Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 21Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Todd Butler is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST LUKES HOSPITAL1026 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 369-7211Acute Care Hospitals160045
MERCY MEDICAL CENTER - CEDAR RAPIDS701 10TH STREET SE
CEDAR RAPIDS, IA 52403
(319) 398-6011Acute Care Hospitals160079

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
110141369OTHER (01)IA
1710964994MEDICAID (05)IA
G28934MEDICARE UPIN (02)IA
54458MEDICARE PIN (08)IA
0138263MEDICAID (05)IA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811991698 JOHANNA J ABERNATHY MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1407850027 GERALD G BARKER MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1912901539 ALVINA A DRISCOLL MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1336143973 JOY L OLSON MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1780688325 JERRY L ROZEBOOM MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1386648921 GILBERT R WESSEL MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1396749933 GERALD J SHIRK MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1568466118 SUNNY H ZHANG MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1316930696 JUDITH MARIA BERNHARD MD
Individual
Pediatrics855 A AVE NE SUITE 300
CEDAR RAPIDS, IA 52402
(319) 368-9300
1891782272 SCOTT CAMERON BEMUS MD
Individual
Obstetrics & Gynecology855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500
1740267673 GARY D GRAY DO
Individual
Pediatrics855 A AVE NE SUITE 30
CEDAR RAPIDS, IA 52402
(319) 368-9300
1891772729 MARY A GURENO ARNP
Individual
Nurse Practitioner855 A AVE NE SUITE 300
CEDAR RAPIDS, IA 52402
(319) 368-9300
1104804822 MARY I HORN ARNP
Individual
Nurse Practitioner855 A AVE NE SUITE 300
CEDAR RAPIDS, IA 52402
(319) 368-9300
1912985680 DANIEL A TRAUTMAN MD
Individual
Internal Medicine855 A AVE NE SUITE 100
CEDAR RAPIDS, IA 52402
(319) 362-0200
1588642128 JAMES L JUSTICE MD
Individual
Internal Medicine855 A AVE NE SUITE 100
CEDAR RAPIDS, IA 52402
(319) 362-0200
1548249220 MARK W REINERTSON DO
Individual
Pediatrics855 A AVE NE SUITE 300
CEDAR RAPIDS, IA 52402
(319) 368-9300
1205815826 TIMOTHY R RUPPERT LMFT
Individual
Marriage & Family Therapist855 A AVE NE SUITE 100
CEDAR RAPIDS, IA 52402
(319) 368-5684
1902810716 BETH G JOHNSON MD
Individual
Internal Medicine855 A AVE NE SUITE 100
CEDAR RAPIDS, IA 52402
(319) 362-0200
1083623250 STACI L WEDEL MD
Individual
Pediatrics855 A AVE NE SUITE 300
CEDAR RAPIDS, IA 52402
(319) 368-9300
1124193800 JODI SWENDER ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)855 A AVE NE
CEDAR RAPIDS, IA 52402
(319) 368-5500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.