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CAROLYN P BUTLER M.D.
NPI 1831156835
Ophthalmology in Waukesha, WI

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
N19W23993 RIDGEVIEW PKWY W STE 100, WAUKESHA, WI 53188(262) 547-3352(262) 547-9142 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn P Butler M.d. NPPES

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

CAROLYN P BUTLER M.D. (NPI 1831156835) is an individual ophthalmology provider in Waukesha, Wisconsin, licensed in Wisconsin (37351-020) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1990).

NPPES Registry Identity

NPI1831156835
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCAROLYN P BUTLERCredential: M.D.
Location AddressN19W23993 RIDGEVIEW PKWY W STE 100Waukesha, WI 53188-1031
Mailing AddressN19w23993 Ridgeview Pkwy W Ste 100Waukesha, WI 53188-1031 · (262) 547-3352 · Fax (262) 547-9142
Phone(262) 547-3352
Fax(262) 547-9142
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1990
Enumeration DateApril 26, 2006
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1831156835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 37351-020
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
N19W23993 RIDGEVIEW PKWY W STE 100, Waukesha, WI 53188
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Other Identifiers 11

Other32256900WI · Abri
Other391101335WI · Wi Phys Services Wps
Other391101335WI · Wi Health Ins Risk Prog
Other0800099WI · United Healthcare
Medicaid32256900WI
Other180026829WI · Railroad Medicare
Other822601WI · Vipa
Other4509471WI · Aetna
Other747042WI · Mohawk
Other103432WI · Health Alliance
Other32256900WI · Managed Health Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Carolyn P Butler M.d. 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 ID9335315621
PECOS Enrollment IDI20120109000629
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 10

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
816 services814 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.
549 services417 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
224 services198 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
214 services211 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
208 services191 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.
92 services92 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 5

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

MEDICAL EYE ASSOCIATES, S.C.
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
KATHERINE DALZOTTO MD
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
DOUGLAS M. LONG M.D.
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
DEBORAH W BERNSTEIN M.D.
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
JESSICA M SCHRIEBER M.D.
Ophthalmology
N19W23993 RIDGEVIEW PKWY W STE 100
WAUKESHA, WI 53188
Waukesha County (262) 547-3352

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 Carolyn Butler's NPI number?

The NPI number for Carolyn Butler is 1831156835. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Carolyn Butler located?

Carolyn Butler practices at N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188. The listed phone number is (262) 547-3352.

What is Carolyn Butler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carolyn Butler enrolled in Medicare?

Yes. Carolyn 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 Carolyn Butler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Carolyn 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 Carolyn Butler affiliated with any hospitals?

According to CMS data, Carolyn Butler is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Butler was last updated on December 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.