MARYAM BUTLER (PA-C) – Physician Assistant, NPI 1659618569
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARYAM BUTLER (PA-C)
PO BOX 74008272
CHICAGO, IL 606748272
Phone: (702) 899-0595
Fax: (702) 977-1496
Type: Mailing
628 SW 162ND ST
OKLAHOMA CITY, OK 731707673
Phone:
Type: Mailing
1400 SE 4TH ST
SUITE H
MOORE, OK 731607329
Phone: (405) 799-7400
Fax: (405) 799-7405
Type: Location
4389 MALIA ST
HONOLULU, HI 968211106
Phone: (808) 218-7200
Type: Location
98-211 PALI MOMI ST STE 312
AIEA, HI 967014306
Phone: (808) 486-0449
Fax: (808) 488-2705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $567.
Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($435).
Total Amount
$567
General + Research + Ownership
Payments
16
Total payment records
General Amount
$567
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $435 |
| Takeda Pharmaceuticals U.S.A., Inc. | $60 |
| Ardelyx, Inc. | $47 |
| RedHill Biopharma Inc. | $25 |
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: 2020-03-30
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 |
|---|---|---|---|---|
| I20200330003331 | I | Physician Assistant | HI | 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 | 83 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 18 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | HI | |
| G A S T R O E N T E R O L O G Y | HI | |
| G A S T R O E N T E R O L O G Y | HI | |
| Physician Assistant | AE | |
| Internal Medicine, Gastroenterology | HI |
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