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CAROL J BUTLER M.D.
NPI 1831139666
Pediatrics in Bluffton, IN

Active since June 08, 2006PECOS Enrolled
303 S MAIN ST, BLUFFTON, IN 46714(260) 919-3300(260) 919-3563 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol J Butler M.d. NPPES

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

CAROL J BUTLER M.D. (NPI 1831139666) is an individual pediatrics provider in Bluffton, Indiana, licensed in Indiana (01050391A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831139666
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROL J BUTLERCredential: M.D.
Location Address303 S MAIN STBluffton, IN 46714-2503
Mailing Address1 Caylor Nickel SqBluffton, IN 46714-2529 · (260) 824-3500 · Fax (260) 919-3551
Phone(260) 919-3300
Fax(260) 919-3563
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1831139666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01050391A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
303 S MAIN ST, Bluffton, IN 46714
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Other Identifiers 1

Medicaid200281630AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Carol J Butler M.d. 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 46714 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 20

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

BAERBEL H STUMPF M.D.
Family Medicine
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 919-3470
GEORGE K BABCOCK M.D.
Surgery
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 824-3432
AMERICAN ONCOLOGY PARTNERS, P.A.
Internal Medicine (Hematology & Oncology)
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 436-0800
YADAGIRI R JONNA M.D.
Internal Medicine
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 919-3452
CHRISTINA M ZOTIS DPM
Podiatrist
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 919-3430
ABBY MALLOY
Speech-Language Pathologist
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 919-3910
BLUFFTON HEALTH SYSTEM LLC
Medicare Defined Swing Bed Unit
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 824-3500
BLUFFTON HEALTH SYSTEM LLC
General Acute Care Hospital
303 S MAIN ST
BLUFFTON, IN 46714
Wells County (260) 824-3500

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 Carol Butler's NPI number?

The NPI number for Carol Butler is 1831139666. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Carol Butler located?

Carol Butler practices at 303 S Main St, Bluffton, IN 46714. The listed phone number is (260) 919-3300.

What is Carol Butler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Butler enrolled in Medicare?

Yes. Carol Butler is registered in the Medicare PECOS enrollment system.

What insurance does Carol Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Carol 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.

When was this NPI record last updated?

The NPPES record for Carol Butler was last updated on September 15, 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.