ALLEN HELMS BUTLER M.D.
NPI 1972570950
Family Medicine in Huntsville, AL
Active since March 08, 2006PECOS Enrolled
401 LOWELL DR SE, SUITE3, HUNTSVILLE, AL 35801(256) 265-7940(256) 265-7939 Get Directions Write a Review
About Allen Helms Butler M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLEN HELMS BUTLER M.D. (NPI 1972570950) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (14725) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1972570950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALLEN HELMS BUTLERCredential: M.D.
Location Address401 LOWELL DR SE, SUITE3Huntsville, AL 35801-3748
Mailing Address401 Lowell Dr Se, Suite3Huntsville, AL 35801-3748 · (256) 265-7940 · Fax (256) 265-7939
Phone(256) 265-7940
Fax(256) 265-7939
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1972570950 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 14725
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.
401 LOWELL DR SE, Huntsville, AL 35801
Other Identifiers 2
Other0004282311Aetna
Other510-87884AL · Bcbs Of Al
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Allen Helms Butler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.
Reported Quality Measures
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%23 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
87%97 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%160 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
93%190 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
74%34 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,035 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,047 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
88%399 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%50 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%323 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%85 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%78 patients5/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%272 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%323 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
77%323 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
60%323 patients
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$71.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$30.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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.
Clinic/Center (Medical Specialty)
401 LOWELL DR SE, SUITE 14
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
401 LOWELL DR SE, SUITE 19
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
Pediatrics (Pediatric Critical Care Medicine)
401 LOWELL DR SE, SUITE 14
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
Dentist (General Practice)
401 LOWELL DR SE, SUITE 17
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
Obstetrics & Gynecology
401 LOWELL DR SE, SUITE 11
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
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 Allen Butler's NPI number?
The NPI number for Allen Butler is 1972570950. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Allen Butler located?
Allen Butler practices at 401 Lowell Dr SE Suite3, Huntsville, AL 35801. The listed phone number is (256) 265-7940.
What is Allen Butler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Allen Butler enrolled in Medicare?
Yes. Allen Butler is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Allen Butler was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Allen Helms Butler, M.D. · NPI 1972570950
Family Medicine physician in Huntsville, Alabama. Individual provider, active in the CMS NPPES registry since March 8, 2006.
## Identity
- **NPI:** 1972570950 (Entity type: Individual)
- **Enumerated:** March 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14725 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 LOWELL DR SE, SUITE3, Huntsville, AL 35801-3748
- **Phone:** (256) 265-7940 · **Fax:** (256) 265-7939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 8, 2020
- **Other identifiers:** Other 0004282311; Other 510-87884 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1972570950) · Data from the CMS NPPES public registry.