JAMES RUSSELL BUTLER MD, PHD
NPI 1851679062
Surgery in Indianapolis, IN

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
545 BARNHILL DR, EMERSON HALL 202, INDIANAPOLIS, IN 46202(317) 274-5771 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Russell Butler Md, Phd NPPES

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

JAMES RUSSELL BUTLER MD, PHD (NPI 1851679062) is an individual surgery provider in Indianapolis, Indiana, licensed in Indiana (01077045A) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851679062
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES RUSSELL BUTLERCredential: MD, PHD
Location Address545 BARNHILL DR, EMERSON HALL 202Indianapolis, IN 46202-5112
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateJuly 22, 2011
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1851679062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in IN · 01077045A Licensed in IN · 11016293A
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

545 BARNHILL DR, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 944-5000
Location 2550 University Blvd Ste 1295Indianapolis, IN 46202-5149 · Phone (317) 944-4370 · Fax (317) 968-1254

Other Identifiers 2

Medicaid300055010IN
Other233690135IN · Medicare Ptan

Accepted 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

James Russell Butler Md, Phd 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 ID9032359609
PECOS Enrollment IDI20210921002077
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Internal Medicine
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Nurse Practitioner
545 BARNHILL DR, EH 203
INDIANAPOLIS, IN 46202
Dermatology
545 BARNHILL DR, EH 139
INDIANAPOLIS, IN 46202
Specialist
545 BARNHILL DR, SUITE #139
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Plastic Surgery
545 BARNHILL DR, SUITE 202 EMERSON HALL
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR
INDIANAPOLIS, IN 46202

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 James Butler's NPI number?

The NPI number for James Butler is 1851679062. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is James Butler located?

James Butler practices at 545 Barnhill Dr Emerson Hall 202, Indianapolis, IN 46202. The listed phone number is (317) 274-5771.

What is James Butler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Butler enrolled in Medicare?

Yes. James 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 James Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list James 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 James Butler affiliated with any hospitals?

According to CMS data, James Butler is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for James Butler was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.