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ROY T BUTERA M.D.
NPI 1730205337
Ophthalmology in Thousand Oaks, CA

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
83.75/100
CMS Quality Rating
2230 LYNN RD STE 102, THOUSAND OAKS, CA 91360(805) 495-0458(805) 494-9630 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roy T Butera M.d. NPPES

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

ROY T BUTERA M.D. (NPI 1730205337) is an individual ophthalmology provider in Thousand Oaks, California, licensed in California (G35235) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1973).

NPPES Registry Identity

NPI1730205337
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROY T BUTERACredential: M.D.
Location Address2230 LYNN RD STE 102Thousand Oaks, CA 91360-1920
Mailing Address2230 Lynn Rd Ste 102Thousand Oaks, CA 91360-1920 · (805) 495-0458 · Fax (805) 494-9630
Phone(805) 495-0458
Fax(805) 494-9630
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1973
Enumeration DateMarch 22, 2007
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1730205337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G35235
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2230 LYNN RD STE 102, Thousand Oaks, CA 91360
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Other Identifiers 1

OtherG35235CA · Liscence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Roy T Butera 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 ID1951298173
PECOS Enrollment IDI20101102000506
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
542 services525 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
531 services523 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
448 services425 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
67 services67 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
47 services47 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

83.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Improvement Activities40
Cost58.36

Other Providers at the Same Location NPPES 4

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

LYNN EYE MEDICAL GROUP
Technician/Technologist (Ophthalmic)
2230 LYNN RD STE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 495-0458
KRISTINE SHAHVERDYAN OD
Optometrist
2230 LYNN RD STE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 495-0458
DR. PEGAH RAVEN OD
Optometrist
2230 LYNN RD STE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 495-0458
DR. JOSHUA HEDAYA M.D.
Ophthalmology
2230 LYNN RD STE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 495-0458

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 Roy Butera's NPI number?

The NPI number for Roy Butera is 1730205337. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Roy Butera located?

Roy Butera practices at 2230 Lynn Rd Ste 102, Thousand Oaks, CA 91360. The listed phone number is (805) 495-0458.

What is Roy Butera's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Roy Butera enrolled in Medicare?

Yes. Roy Butera 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 Roy Butera accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Roy Butera 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 Roy Butera was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.