SAMANTHA BUTZKE MD
NPI 1780114967
Pediatrics - Pediatric Gastroenterology in Annapolis, MD

Q: What is Samantha Butzke's NPI number?

The NPI number for Samantha Butzke is 1780114967. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Samantha Butzke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Butzke was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment

77.95/100

CMS Quality Rating

621 RIDGELY AVE STE 201, ANNAPOLIS, MD 21401(410) 224-4887 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 16, 2019, Jul 26, 2017 and 1 more (4 updates tracked since 2017).

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About Samantha Butzke Md NPPES

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

SAMANTHA BUTZKE MD (NPI 1780114967) is an individual pediatric gastroenterology provider in Annapolis, Maryland, licensed in Maryland (D0093369) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780114967

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameSAMANTHA BUTZKECredential: MD

Location Address621 RIDGELY AVE STE 201Annapolis, MD 21401-1083

Mailing Address621 Ridgely Ave Ste 201Annapolis, MD 21401-1083 · (410) 224-4887

Phone(410) 224-4887

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 19, 2017

Last NPPES UpdateApril 24, 20254 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1780114967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MD · D0093369

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

621 RIDGELY AVE STE 201, Annapolis, MD 21401

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Other Identifiers 1

Other390200000XStudent, Health Care

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

Samantha Butzke 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 ID840674032

PECOS Enrollment IDI20220907003524

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 3

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.

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

38 services18 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

38 services14 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

37 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

77.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.48

Promoting Interoperability

100

Improvement Activities

Cost

50.02

Other Providers at the Same Location NPPES 8

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

CHESAPEAKE DIGESTIVE ASSOCIATES, PC

Internal Medicine (Gastroenterology)