MR. DAVID BUTLER (P.A-C) – Medical Physician Assistant, NPI 1124021704
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MR. DAVID BUTLER (P.A-C)
668 LAKE ASBURY DR
GREEN COVE SPRINGS, FL 320439551
Phone:
Type: Mailing
Office Park Drive, Palm Coast, Flagler County, Florida, 32137, United States
PALM COAST, FL 321373808
Phone: (386) 447-6615
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Exact Sciences Corporation ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $24 |
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: 2011-12-21
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 |
|---|---|---|---|---|
| I20111221000281 | I | Physician Assistant | FL | 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 | 230 | 221 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 128 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 89 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 65 | $0 |
| 81002 | Urinalysis, manual test | 57 | 56 | $0 |
Insurance plans in this area (ZIP 32043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 81002 | Urinalysis, manual test | 98 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Family Practice, Emergency Medicine | FL |
Reviews
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