JESSICA M BUTANIS (DO) – Internal Medicine Physician, NPI 1003220799
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,636 INTERNAL MEDICINE in MN
Provider Addresses for JESSICA M BUTANIS (DO)
610 30TH AVENUE WEST
ALEXANDRIA, MN 56308
Phone: (320) 763-5123
Fax: (320) 763-7883
Type: Mailing
610 30TH AVE W
ALEXANDRIA, MN 563083426
Phone: (320) 763-5123
Fax: (320) 763-7883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-02-05 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($30).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-09-26
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 |
|---|---|---|---|---|
| I20170926000150 | I | Internal Medicine | MN | 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 | 820 | 327 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 367 | 337 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 280 | 280 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 43 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 29 | $0 |
Insurance plans in this area (ZIP 56308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| H O S P I T A L I S T | MN | |
| Emergency Medicine | MI | |
| Emergency Medicine | MN | |
| Emergency Medicine | MN | |
| U R O L O G Y | MN | |
| Physician Assistant | MN | |
| Emergency Medicine | MN | |
| Orthopedic Surgery, Sports Medicine | MN |
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