DR. THOMAS BRYAN BUTTOLPH M.D.
NPI 1972501708
Pathology - Anatomic Pathology & Clinical Pathology in Lincoln, NE

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
5440 SOUTH ST STE 200, LINCOLN, NE 68506(402) 465-1900 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2023, Nov 18, 2021 (2 updates tracked since 2021).

About Dr. Thomas Bryan Buttolph M.d. NPPES

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

DR. THOMAS BRYAN BUTTOLPH M.D. (NPI 1972501708) is an individual anatomic pathology & clinical pathology provider in Lincoln, Nebraska, licensed in Nebraska (23194) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1993).

NPPES Registry Identity

NPI1972501708
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. THOMAS BRYAN BUTTOLPHCredential: M.D.
Location Address5440 SOUTH ST STE 200Lincoln, NE 68506-2116
Mailing Address5440 South St Ste 200Lincoln, NE 68506-2116 · (402) 465-1900
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1993
Enumeration DateJuly 14, 2005
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1972501708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in NE · 23194 Licensed in MN · 47866 Licensed in FL · ME 86124 Licensed in IA · 36205 Licensed in SD · 5544
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5440 SOUTH ST STE 200, Lincoln, NE 68506

Other Identifiers 1

Medicaid399365500MN

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

Dr. Thomas Bryan Buttolph 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 ID2062440134
PECOS Enrollment IDI20200909003210
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 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,185 services514 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
764 services370 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
236 services57 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
148 services83 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
117 services46 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
114 services58 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Brodstone Healthcare

Critical Access Hospitals · Superior, NE
OwnershipProprietary
CMS Certification Number281315
LocationP O Box 187, 520 East 10th StSuperior, NE 68978 · Nuckolls County
Emergency services Birthing friendly

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506
Pathology (Anatomic Pathology & Clinical Pathology)
5440 SOUTH ST STE 200
LINCOLN, NE 68506

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 Thomas Buttolph's NPI number?

The NPI number for Thomas Buttolph is 1972501708. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Thomas Buttolph located?

Thomas Buttolph practices at 5440 South St Ste 200, Lincoln, NE 68506. The listed phone number is (402) 465-1900.

What is Thomas Buttolph's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Thomas Buttolph enrolled in Medicare?

Yes. Thomas Buttolph 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 Thomas Buttolph accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Thomas Buttolph 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 Thomas Buttolph affiliated with any hospitals?

According to CMS data, Thomas Buttolph is affiliated with Bryan Medical Center, Columbus Community Hospital, Inc, Faith Regional Health Services, Brodstone Healthcare and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Buttolph was last updated on January 17, 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.