EMMARY SAMEL BUTLER (MD) – Obstetrics & Gynecology Physician, NPI 1275809311
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for EMMARY SAMEL BUTLER (MD)
2518 E DUPONT RD
FORT WAYNE, IN 468251675
Phone: (260) 432-4400
Fax: (260) 969-6898
Type: Mailing
409 SE GREENVILLE AVE
WINCHESTER, IN 473949464
Phone: (765) 584-0459
Fax: (765) 584-0470
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 808-7916
Fax: (570) 808-6006
Type: Mailing
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110001
Phone: (570) 808-7916
Fax: (570) 808-6006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $31,645.
Total Amount is formed as General ($31,645) + Research ($0) + Ownership ($0) = $31,645.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Organon LLC ($31,645).
Total Amount
$31,645
General + Research + Ownership
Payments
54
Total payment records
General Amount
$31,645
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $31,645 |
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: 2025-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20160629001790 | I | Obstetrics/Gynecology | IN | TBD |
| I20250129003358 | I | Obstetrics/Gynecology | WA | TBD |
| I20250508000803 | I | Obstetrics/Gynecology | IL | TBD |
| I20250715000790 | I | Obstetrics/Gynecology | MD | TBD |
| I20250715001062 | I | Obstetrics/Gynecology | DC | TBD |
| I20251118003239 | I | Obstetrics/Gynecology | PA | TBD |
| I20251124001920 | I | Obstetrics/Gynecology | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46825)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN | |
| - | OH | |
| Emergency Medicine | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | PA | |
| Emergency Medicine | TN | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.