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ANDREW JAMES BUTLER MD
NPI 1740713478
Orthopaedic Surgery in Hackensack, NJ

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 600, HACKENSACK, NJ 07601(551) 996-8867(551) 996-8873 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2026, Apr 10, 2017 (2 updates tracked since 2017).

About Andrew James Butler Md NPPES

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

ANDREW JAMES BUTLER MD (NPI 1740713478) is an individual orthopaedic surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA11290000) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1740713478
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW JAMES BUTLERCredential: MD
Location Address20 PROSPECT AVE STE 600Hackensack, NJ 07601-1962
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(551) 996-8867
Fax(551) 996-8873
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1740713478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · 25MA11290000
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 292299 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 PROSPECT AVE STE 600, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11153 Centre St Ste 4-SouthJamaica Plain, MA 02130-3446 · Phone (617) 983-7295
Location 21 Metro Blvd, Ste 3AClifton, NJ 07014 · Phone (551) 996-8867 · Fax (551) 996-8873
Location 37650 River Rd Ste 100North Bergen, NJ 07047-6527 · Phone (551) 996-8867 · Fax (551) 996-8873
Location 4129 McDowell StAsheville, NC 28801-4434 · Phone (828) 258-8800
Location 51 Rwj Pl, MEB 422ANew Brunswick, NJ 08901-1928 · Phone (732) 235-7869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew James 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 ID1355724451
PECOS Enrollment IDI20230814000445, I20260130001135
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Emergeortho PA
425 mi
Orthopaedic Surgery
120 WILLIAM PENN PLZ
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 300 clinicians in this Medicare group
NPI 1376592964 (919) 220-5255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
271 services161 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.
205 services137 patients
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.
186 services158 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
139 services65 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
86 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 2

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

MONET ROSE VALA PA-C
Physician Assistant
20 PROSPECT AVE STE 600
HACKENSACK, NJ 07601
Bergen County (551) 996-8867
ROSEMARIE B LONDONO NP
Nurse Practitioner (Primary Care)
20 PROSPECT AVE STE 600
HACKENSACK, NJ 07601
Bergen County (201) 597-4334

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 Andrew Butler's NPI number?

The NPI number for Andrew Butler is 1740713478. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Andrew Butler located?

Andrew Butler practices at 20 Prospect Ave Ste 600, Hackensack, NJ 07601. The listed phone number is (551) 996-8867.

What is Andrew Butler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Butler enrolled in Medicare?

Yes. Andrew 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.

Which organizations bill Medicare for Andrew Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Butler reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Emergeortho PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Butler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Andrew 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 Andrew Butler affiliated with any hospitals?

According to CMS data, Andrew Butler is affiliated with Hackensack University Medical Center, Palisades Medical Center and Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Andrew Butler was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.