ROGER BUTLER II PHYSICIAN ASSISTANT
NPI 1962810366
Physician Assistant in Corbin, KY

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment
121 BISHOP ST, CORBIN, KY 40701(606) 528-2124(606) 528-8272 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger Butler Ii Physician Assistant NPPES

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

ROGER BUTLER II PHYSICIAN ASSISTANT (NPI 1962810366) is an individual physician assistant in Corbin, Kentucky, licensed in (PA1893) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962810366
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROGER BUTLER IICredential: PHYSICIAN ASSISTANT
Location Address121 BISHOP STCorbin, KY 40701-1702
Mailing Address121 Bishop StCorbin, KY 40701-1702 · (606) 528-2124 · Fax (606) 528-8272
Fax(606) 528-8272
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 29, 2014
Last NPPES UpdateJuly 20, 2015
NPI 1962810366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed · PA1893
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.
121 BISHOP ST, Corbin, KY 40701

Other Identifiers 1

Medicare UPINK192150KY

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

Roger Butler Ii Physician Assistant 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 ID3678899549
PECOS Enrollment IDI20150312000258
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 17

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

Pharmacy (Community/Retail Pharmacy)
121 BISHOP ST
CORBIN, KY 40701
Nurse Practitioner (Family)
121 BISHOP ST
CORBIN, KY 40701
Family Medicine
121 BISHOP ST
CORBIN, KY 40701
Pharmacy (Community/Retail Pharmacy)
121 BISHOP ST, SUITE 1
CORBIN, KY 40701
Pharmacist
121 BISHOP ST
CORBIN, KY 40701
Clinic/Center (Physical Therapy)
121 BISHOP ST
CORBIN, KY 40701
Nurse Practitioner (Family)
121 BISHOP ST
CORBIN, KY 40701
Physician Assistant
121 BISHOP ST
CORBIN, KY 40701

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 Roger Butler's NPI number?

The NPI number for Roger Butler is 1962810366. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Roger Butler located?

Roger Butler practices at 121 Bishop St, Corbin, KY 40701. The listed phone number is (606) 528-2124.

What is Roger Butler's specialty?

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

Is Roger Butler enrolled in Medicare?

Yes. Roger 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.

When was this NPI record last updated?

The NPPES record for Roger Butler was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.