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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
11Medicare enrollment records show Tyrone Butler reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blue Ridge, GA 30513
- Reassigned Medicare billing, Georgia enrollment
- 124 clinicians in this Medicare group
Elberton, GA 30635
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Cocharan, GA 31014
- Reassigned Medicare billing, Georgia enrollment
- 52 clinicians in this Medicare group
Cochran, GA 31014
- Reassigned Medicare billing, Georgia enrollment
- 155 clinicians in this Medicare group
Waynesboro, GA 30830
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Williamsport, PA 17701
- Reassigned Medicare billing, Pennsylvania enrollment
- 111 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 78 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Pennsylvania enrollment
- 383 clinicians in this Medicare group
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 962 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Tyrone Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Butler reassigns Medicare benefits to 11 organizations: Fort Oglethorpe Emergency Physicians Group LLC (Blue Ridge, GA), Southland Consolidated Emergency Services, LLC (Elberton, GA), Cogent Healthcare Of Georgia PC (Macon, GA), Southland Cochran Emergency Medical Services, LLC (Cocharan, GA), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyrone Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyrone Butler accept?
Health plans from Alliant Health Plans, Inc., Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 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.
# Tyrone Butler, MD · NPI 1861874612
Hospitalist physician in Blue Ridge, Georgia. Individual provider, active in the CMS NPPES registry since June 28, 2015.
## Identity
- **NPI:** 1861874612 (Entity type: Individual)
- **Enumerated:** June 28, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 93993 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2855 OLD HIGHWAY 5, Blue Ridge, GA 30513-6248
- **Phone:** (706) 632-3711 · **Fax:** (706) 258-4146
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Fort Oglethorpe Emergency Physicians Group LLC (NPI 1174024376, Blue Ridge, GA); Southland Consolidated Emergency Services, LLC (NPI 1174917124, Elberton, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Southland Cochran Emergency Medical Services, LLC (NPI 1205241395, Cocharan, GA); Southland Emergency Medical Services Consolidated, LLC (NPI 1033464391, Cochran, GA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 13, 2023
- **Other identifiers:** Medicaid 003278442C (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1861874612) · Data from the CMS NPPES public registry.