GLORIA J BUTLER MD
NPI 1750312963
Family Medicine in Vicksburg, MS

Q: What is Gloria Butler's NPI number?

The NPI number for Gloria Butler is 1750312963. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Gloria Butler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Butler was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2006PECOS Enrolled

2200 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-3340 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gloria J Butler Md NPPES

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

GLORIA J BUTLER MD (NPI 1750312963) is an individual family medicine provider in Vicksburg, Mississippi, licensed in Mississippi (10669) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750312963

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGLORIA J BUTLERCredential: MD

Location Address2200 HIGHWAY 61 NVicksburg, MS 39183-8246

Mailing Address1115 N Frontage RdVicksburg, MS 39180-5102 · (601) 634-8790

Phone(601) 883-3340

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateSeptember 10, 2020

NPPES CertifiedSeptember 10, 2020

✔ NPI 1750312963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 10669

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2200 HIGHWAY 61 N, Vicksburg, MS 39183

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Other Identifiers 4

Medicaid1994014LA

Medicaid0010931MS

Other5968106MS · Aetna

Other4251157MS · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria J Butler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39183 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

63%536 patients3/55-star benchmark: 92%

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

31%566 patients2/55-star benchmark: 95%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

24%802 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

12%331 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%3,757 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

16%1,431 patients1/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

28%1,093 patients2/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 1,035 patients

Patients tobacco: 4% · 67 patients

82%1,035 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

LA MISS DIABETIC SHOES

Durable Medical Equipment & Medical Supplies

2200 HIGHWAY 61 N, SUITE 3400
VICKSBURG, MS 39183

Warren County (601) 883-3342

HANGER PROSTHETICS & ORTHOTICS, INC.

Prosthetic/Orthotic Supplier