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AMANDA BUTLER PA-C
NPI 1861817090
Physician Assistant in Malone, NY

Active since February 25, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Mar 23, 2018, Nov 1, 2017 (3 updates tracked since 2017).

About Amanda Butler Pa-c NPPES

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

AMANDA BUTLER PA-C (NPI 1861817090) is an individual physician assistant in Malone, New York, licensed in New York (030068) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1861817090
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA BUTLERCredential: PA-C
Location Address5 CLAY STMalone, NY 12953-1905
Mailing Address1233 Edgewater St NwSalem, OR 97304-4049 · (503) 378-7526 · Fax (503) 588-5815
Phone(518) 483-0705
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2013
Enumeration DateFebruary 25, 2014
Last NPPES UpdateSeptember 14, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1861817090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 030068✔ Licensed in KS · 15-01676
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA174869 (OR)
5 CLAY ST, Malone, NY 12953
Open in Google Maps ↗

Secondary Practice Location 1

Location 11233 Edgewater St NWSalem, OR 97304-4049 · Phone (503) 378-7526 · Fax (503) 588-5815

Other Identifiers 2

Other15-01676KS · State License
OtherPA174869OR · State License

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

Amanda Butler Pa-c 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 ID9830321215
PECOS Enrollment IDI20230926004144
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.

Hospital Affiliations CMS Care Compare 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12953 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers33 claims64 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims14 services$1.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$88.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$215.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ANJNI BHAGAT MD
Internal Medicine
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
PATRICK M JOHNSTON PA
Physician Assistant
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
ADELANKE CHRIS-ROTIMI NP
Nurse Practitioner
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
ANJNI G BHAGAT PHYSICIAN P C
Internal Medicine
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
SARAH MOORE PA
Physician Assistant
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
RAJIV S SHAH PHYSICIAN P C
Internal Medicine
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705
BROOKE ANNE STARK FNP
Family Medicine
5 CLAY ST
MALONE, NY 12953
Franklin County (518) 483-0705

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 Amanda Butler's NPI number?

The NPI number for Amanda Butler is 1861817090. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Amanda Butler located?

Amanda Butler practices at 5 Clay St, Malone, NY 12953. The listed phone number is (518) 483-0705.

What is Amanda Butler's specialty?

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

Is Amanda Butler enrolled in Medicare?

Yes. Amanda 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.

Is Amanda Butler affiliated with any hospitals?

According to CMS data, Amanda Butler is affiliated with Canton-Potsdam Hospital and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Amanda Butler was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.