VIDALIA M BUTLER-POKU (MD) – Obstetrics & Gynecology Physician, NPI 1285639286
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
788 OBSTETRICS/GYNECOLOGY in AZ
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Provider Addresses for VIDALIA M BUTLER-POKU (MD)
270, East Hunt Highway, San Tan Valley, Pinal County, Arizona, 85143, United States
10
SAN TAN VALLEY, AZ 851434962
Phone: (480) 987-5500
Fax: (480) 987-5507
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $2,669.
Total Amount is formed as General ($2,669) + Research ($0) + Ownership ($0) = $2,669.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,965).
Total Amount
$2,669
General + Research + Ownership
Payments
40
Total payment records
General Amount
$2,669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,965 |
| Sumitomo Pharma America, Inc. | $141 |
| Hologic Sales and Service, LLC | $94 |
| CooperSurgical, Inc. | $60 |
| Organon LLC | $57 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050609000278 | I | Obstetrics/Gynecology | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 11 | 11 | $0 |
Insurance plans in this area (ZIP 85143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Certified Nurse Midwife (Cnm) | AZ | |
| Nurse Practitioner | AZ |
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