ROBERT KARL BUTLER M.D.
NPI 1942228549
Family Medicine in Vero Beach, FL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
1880 37TH ST STE 5, VERO BEACH, FL 32960(772) 202-0262 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2026, Jan 5, 2026, Feb 18, 2025 and 3 more (6 updates tracked since 2022).

About Robert Karl Butler M.d. NPPES

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

ROBERT KARL BUTLER M.D. (NPI 1942228549) is an individual family medicine provider in Vero Beach, Florida, licensed in Florida (ME58535) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1942228549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT KARL BUTLERCredential: M.D.
Location Address1880 37TH ST STE 5Vero Beach, FL 32960-6594
Mailing Address1880 37th St Ste 5Vero Beach, FL 32960-6594 · (772) 365-4722
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 2, 20266 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
✔ NPI 1942228549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME58535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License ME0058535 (FL)
1880 37TH ST STE 5, Vero Beach, FL 32960

Other Identifiers 1

Medicaid023384300FL

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

Robert Karl Butler M.d. 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 ID749377323
PECOS Enrollment IDI20071029000646
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1880 37TH ST STE 5
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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 2

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

Family Medicine
1880 37TH ST STE 5
VERO BEACH, FL 32960
Nurse Practitioner (Family)
1880 37TH ST STE 5
VERO BEACH, FL 32960

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 Robert Butler's NPI number?

The NPI number for Robert Butler is 1942228549. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Robert Butler located?

Robert Butler practices at 1880 37th St Ste 5, Vero Beach, FL 32960. The listed phone number is (772) 202-0262.

What is Robert Butler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Butler enrolled in Medicare?

Yes. Robert 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 organization bills Medicare for Robert Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Butler reassigns Medicare benefits to Pulsepoint Primary Health LLC (Vero Beach, FL). The 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 Robert Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Butler accept?

Health plans from Oscar Health Maintenance Organization of Florida list Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Butler was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.