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JEFFREY LOUIS BUTCHER MD
NPI 1891716197
Colon & Rectal Surgery in Havertown, PA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
81.11/100
CMS Quality Rating
1010 W CHESTER PIKE, SUITE 201, HAVERTOWN, PA 19083(610) 446-7882(610) 446-3316 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Louis Butcher Md NPPES

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

JEFFREY LOUIS BUTCHER MD (NPI 1891716197) is an individual colon & rectal surgery provider in Havertown, Pennsylvania, licensed in Pennsylvania (MD428686) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Hahnemann University College Of Medicine (2000).

NPPES Registry Identity

NPI1891716197
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJEFFREY LOUIS BUTCHERCredential: MD
Location Address1010 W CHESTER PIKE, SUITE 201Havertown, PA 19083-3442
Mailing Address1010 W Chester Pike, Suite 201Havertown, PA 19083-3442 · (610) 446-7882 · Fax (610) 446-3316
Phone(610) 446-7882
Fax(610) 446-3316
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2000
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 25, 2014
✔ NPI 1891716197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · MD428686
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1010 W CHESTER PIKE, Havertown, PA 19083
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Other Identifiers 3

Medicare UPINI60592PA
Medicaid1017250410001PA
Medicare PIN103611VX8PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jeffrey Louis Butcher 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.

PECOS PAC ID7113922444
PECOS Enrollment IDI20060920000305
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 9

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 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.
166 services119 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
101 services84 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.
77 services56 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
45 services40 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
39 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

81.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.22
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
2%150 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%178 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
81%468 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
97%1,446 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%276 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%900 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%893 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 373 patients
0%373 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 305 patients
Patients totalRate: 1% · 305 patients
1%305 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. PHILIP BRIAN GILMAN M.D.
Internal Medicine (Gastroenterology)
1010 W CHESTER PIKE, SUITE 202
HAVERTOWN, PA 19083
Delaware County (610) 789-3510
DR. JESS P. ARMINE D.C.
Chiropractor
1010 W CHESTER PIKE, SUITE 303
HAVERTOWN, PA 19083
Delaware County (610) 449-9716
INTEGRATIVE FAMILY HEALTHCARE, P.C.
Chiropractor
1010 W CHESTER PIKE, SUITE 303
HAVERTOWN, PA 19083
Delaware County (610) 449-9716

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 Jeffrey Butcher's NPI number?

The NPI number for Jeffrey Butcher is 1891716197. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jeffrey Butcher located?

Jeffrey Butcher practices at 1010 W Chester Pike Suite 201, Havertown, PA 19083. The listed phone number is (610) 446-7882.

What is Jeffrey Butcher's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jeffrey Butcher enrolled in Medicare?

Yes. Jeffrey Butcher 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 Jeffrey Butcher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jeffrey Butcher 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 Jeffrey Butcher affiliated with any hospitals?

According to CMS data, Jeffrey Butcher is affiliated with Bryn Mawr Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Butcher was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.