ROBERT BUTTS (MD) – Family Medicine Physician, NPI 1245323898

ROBERT BUTTS (MD) is a healthcare provider. based in Vandalia, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 036096697 (IL). The NPI Number for ROBERT BUTTS (MD) is 1245323898

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT BUTTS (MD)
NPI
1245323898
Phone
(618) 283-0266
Address
1442 N 8TH ST
Enumeration Date
2 October 2006
Last Update Date
16 May 2016

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2177282042
Graduation Year
1995 (31 years ago)
PAC ID
4183517774
Group Practice PAC ID
6204731144
Professional Enrollment ID
I20040206000281
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT BUTTS (MD)

  • 1442, North 8th Street, Vandalia, Fayette County, Illinois, 62471, United States

    SUITE C

    VANDALIA, IL 624711027

    Phone: (618) 283-0266

    Fax: (618) 283-0519

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Organon LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$17
View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040206000281IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204731144View full group profile
NameSpecialtyState
-IL
General Surgery, Colorectal Surgery (Proctology)IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyMO
Nurse PractitionerIL
-IL
-IL
Physician AssistantIL
-IL
-IL
-IL

Reviews

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Frequently asked questions

How do I look up ROBERT BUTTS (MD) by NPI?
Use NPI 1245323898 when you need to reference ROBERT BUTTS (MD) in forms, claims, or directories.
Is ROBERT BUTTS (MD) active in the national directory?
ROBERT BUTTS (MD)'s public NPI profile is in an active state.
What kind of provider is ROBERT BUTTS (MD)?
The page reflects Family Medicine Physician for ROBERT BUTTS (MD). Clinical services aligned with this taxonomy classification.
Does ROBERT BUTTS (MD) practice in Illinois?
You will see Vandalia, Illinois on file for ROBERT BUTTS (MD) alongside any extra practice locations.
What if Vandalia, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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