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SAMUEL BUTLER PA-C MPAS
NPI 1790239150
Physician Assistant in North Miami Beach, FL

Active since August 15, 2016PECOS EnrolledAccepts Medicare Assignment
2145 NE 164TH ST APT 632, NORTH MIAMI BEACH, FL 33162(979) 216-6079 Get Directions Write a Review

NPPES record last updated: June 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2019, Aug 30, 2016, Aug 24, 2016 and 1 more (4 updates tracked since 2016).

About Samuel Butler Pa-c Mpas NPPES

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

SAMUEL BUTLER PA-C MPAS (NPI 1790239150) is an individual physician assistant in North Miami Beach, Florida, licensed in Texas (PA10742) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Sunnyvale, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790239150
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL BUTLERCredential: PA-C MPAS
Location Address2145 NE 164TH ST APT 632North Miami Beach, FL 33162-4291
Mailing Address2145 Ne 164th St Apt 632North Miami Beach, FL 33162-4291 · (979) 216-6079
Phone(979) 216-6079
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 15, 2016
Last NPPES UpdateJune 22, 20194 updates tracked since enumeration
✔ NPI 1790239150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10742
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2145 NE 164TH ST APT 632, North Miami Beach, FL 33162
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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 Texas, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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

Samuel Butler Pa-c Mpas 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 ID1658654058
PECOS Enrollment IDI20170209000578
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services45 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33162 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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 Samuel Butler's NPI number?

The NPI number for Samuel Butler is 1790239150. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Samuel Butler located?

Samuel Butler practices at 2145 NE 164th St Apt 632, North Miami Beach, FL 33162. The listed phone number is (979) 216-6079.

What is Samuel Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Butler enrolled in Medicare?

Yes. Samuel 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 Samuel Butler accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Samuel 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 Samuel Butler affiliated with any hospitals?

According to CMS data, Samuel Butler is affiliated with Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Samuel Butler was last updated on June 22, 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.