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KRISTEN BUTLER MD
NPI 1720307416
Surgery in Mobile, AL

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
6701 AIRPORT BLVD STE A208, MOBILE, AL 36608(251) 266-3544(251) 266-3543 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 29, 2019, Apr 15, 2019, Apr 10, 2019 and 16 more (19 updates tracked since 2016).

About Kristen Butler Md NPPES

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

KRISTEN BUTLER MD (NPI 1720307416) is an individual surgery provider in Mobile, Alabama, licensed in Alabama (MD.37419) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1720307416
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKRISTEN BUTLERCredential: MD
Location Address6701 AIRPORT BLVD STE A208Mobile, AL 36608-3763
Mailing Address6701 Airport Blvd Ste A208Mobile, AL 36608-3763 · (251) 266-3544 · Fax (251) 266-3543
Phone(251) 266-3544
Fax(251) 266-3543
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2010
Enumeration DateMay 20, 2010
Last NPPES UpdateMay 29, 201919 updates tracked since enumeration
✔ NPI 1720307416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AL · MD.37419✔ Licensed in NC · 2016-00234
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 ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD.37419 (AL)
6701 AIRPORT BLVD STE A208, Mobile, AL 36608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Kristen 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 ID1951547421
PECOS Enrollment IDI20160803002823, I20230130001011
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. JOSHUA KENNETH EDGERTON M.D.
Surgery
6701 AIRPORT BLVD STE A208
MOBILE, AL 36608
Mobile County (251) 266-3544
DR. JAY H. MURRAY M.D.
Surgery
6701 AIRPORT BLVD STE A208
MOBILE, AL 36608
Mobile County (251) 266-3544
DR. ERNEST GEORGE BURCH M.D.
Surgery
6701 AIRPORT BLVD STE A208
MOBILE, AL 36608
Mobile County (251) 266-3544
USA HEALTH COMMUNITY PROVIDERS LLC
Surgery
6701 AIRPORT BLVD STE A208
MOBILE, AL 36608
Mobile County (251) 266-3544
DR. JOSEPH E BORNSTEIN MD, MBA
Surgery
6701 AIRPORT BLVD STE A208
MOBILE, AL 36608
Mobile County (251) 633-1981

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 Kristen Butler's NPI number?

The NPI number for Kristen Butler is 1720307416. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Kristen Butler located?

Kristen Butler practices at 6701 Airport Blvd Ste A208, Mobile, AL 36608. The listed phone number is (251) 266-3544.

What is Kristen Butler's specialty?

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

Is Kristen Butler enrolled in Medicare?

Yes. Kristen 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 Kristen Butler accept?

Health plans from Blue Cross and Blue Shield of NC list Kristen 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 Kristen Butler affiliated with any hospitals?

According to CMS data, Kristen Butler is affiliated with Wellstar Spalding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Butler was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.