MR. JESSE PAUL BUTLER (M.D.) – Orthopaedic Surgery Physician, NPI 1205888385
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for MR. JESSE PAUL BUTLER (M.D.)
221 E LAKE ST STE 102
ADDISON, IL 601012851
Phone: (773) 321-2800
Fax: (773) 321-2801
Type: Mailing
1120 N MELVIN ST
GIBSON CITY, IL 609361477
Phone: (217) 784-4340
Fax: (217) 784-2360
Type: Location
221 E Lake St Ste 102
Addison, IL 601012851
Phone: (773) 321-2800
Fax: (773) 321-2801
Type: Location
2514 Village Green Pl
Champaign, IL 618227675
Phone: (773) 321-2800
Fax: (773) 321-2801
Type: Location
2514 VILLAGE GREEN PL
CHAMPAIGN, IL 618227675
Phone: (773) 321-2800
Fax: (773) 321-2801
Type: Mailing
10, Doctors Park, Gibson City, Ford County, Illinois, 60936, United States
GIBSON CITY, IL 609362004
Phone: (217) 784-4340
Fax: (217) 784-2360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $3,590.
Total Amount is formed as General ($3,590) + Research ($0) + Ownership ($0) = $3,590.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: IMPLANET America, Inc. ($3,500).
Total Amount
$3,590
General + Research + Ownership
Payments
6
Total payment records
General Amount
$3,590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IMPLANET America, Inc. | $3,500 |
| Ferring Pharmaceuticals Inc. | $43 |
| SI-BONE, INC. | $34 |
| ZIMVIE INC. | $13 |
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: 2006-12-12
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 |
|---|---|---|---|---|
| I20061212000293 | I | Orthopedic Surgery | IL | 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 | 76 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 47 | $0 |
| 22614 | Fusion of additional segment of spine | 45 | 16 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 21 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 18 | 14 | $0 |
Insurance plans in this area (ZIP 60101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| Diagnostic Radiology | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine | MN | |
| - | IL | |
| - | IL |
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