DR. JEFFERY MILES BUTLER (M.D.) – Surgery Physician, NPI 1104036359
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. JEFFERY MILES BUTLER (M.D.)
163 S TALLAHASSEE ST
HAZLEHURST, GA 315396465
Phone: (912) 699-6530
Fax: (912) 699-6535
Type: Mailing
11 CROSS ST
HAZLEHURST, GA 315396427
Phone: (912) 699-6530
Fax: (912) 699-6535
Type: Location
950, South Main Street, Speer Homes, Holt Homes, Baxley, Appling County, Georgia, 31513, United States
STE 1
BAXLEY, GA 315130161
Phone: (912) 367-8499
Type: Mailing
11, Johnson Street, Hazlehurst, Jeff Davis County, Georgia, 31539, United States
HAZLEHURST, GA 315396243
Phone: (800) 367-0816
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Organogenesis Inc. ($44).
Total Amount
$61
General + Research + Ownership
Payments
4
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $44 |
| ABBVIE INC. | $17 |
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: 2012-10-08
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 |
|---|---|---|---|---|
| I20121008000313 | I | General Surgery | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 66 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 110 | 20 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 106 | 19 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 93 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 46 | $0 |
Insurance plans in this area (ZIP 31539)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | GA | 45378 | Diagnostic examination of large bowel using an endoscope | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| Physical Medicine And Rehabilitation | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MI | |
| Family Practice, General Surgery, Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| - | FL | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA |
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