DR. FREDERICK EMIL BUTT (MD) – Internal Medicine Physician, NPI 1114410412
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for DR. FREDERICK EMIL BUTT (MD)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 637034928
Phone: (573) 335-6671
Fax: (573) 339-0083
Type: Mailing
PO BOX 19636
SPRINGFIELD, IL 627949636
Phone:
Type: Mailing
Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States
SPRINGFIELD, IL 627023757
Phone: (217) 545-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230621000667 | I | Diagnostic Radiology | MO | TBD |
| I20230706003112 | I | Diagnostic Radiology | KY | TBD |
| I20240305002786 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 99 | 89 | $0 |
| 73502 | X-ray of hip, 2-3 views | 73 | 72 | $0 |
| 73562 | X-ray of knee, 3 views | 71 | 63 | $0 |
| 71046 | X-ray of chest, 2 views | 49 | 49 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 48 | 41 | $0 |
Insurance plans in this area (ZIP 63703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MO | |
| Pain Management, Anesthesiology, Anesthesiology, Pain Management | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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