TYRONE BUTLER MD
NPI 1861874612
Hospitalist in Blue Ridge, GA
About Tyrone Butler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRONE BUTLER MD (NPI 1861874612) is an individual hospitalist provider in Blue Ridge, Georgia, licensed in Georgia (93993) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Washington County Regional Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Tyrone Butler Md 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Washington County Regional Medical Center
Acute Care Hospitals · Sandersville, GABurke Medical Center
Acute Care Hospitals · Waynesboro, GABleckley Memorial Hospital
Critical Access Hospitals · Cochran, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BLUE RIDGE, GA 30513
BLUE RIDGE, GA 30513
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 Tyrone Butler's NPI number?
The NPI number for Tyrone Butler is 1861874612. It was assigned to this individual provider in the NPPES registry on June 28, 2015.
Where is Tyrone Butler located?
Tyrone Butler practices at 2855 Old Highway 5, Blue Ridge, GA 30513. The listed phone number is (706) 632-3711.
What is Tyrone Butler's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Tyrone Butler enrolled in Medicare?
Yes. Tyrone 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 Tyrone Butler accept?
Health plans from Alliant Health Plans, Inc., 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 Tyrone 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 Tyrone Butler affiliated with any hospitals?
According to CMS data, Tyrone Butler is affiliated with Washington County Regional Medical Center, Burke Medical Center and Bleckley Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Tyrone Butler was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
