DR. CONNIE LYNN BUTLER (MD) – Family Medicine Physician, NPI 1255412417

DR. CONNIE LYNN BUTLER (MD) is a healthcare provider. based in Cassville, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 2005014673 (MO). The NPI Number for DR. CONNIE LYNN BUTLER (MD) is 1255412417

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONNIE LYNN BUTLER (MD)
NPI
1255412417
Phone
(417) 847-5225
Address
92 MAIN ST
Enumeration Date
17 October 2006
Last Update Date
9 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4178885638
Graduation Year
2002 (24 years ago)
PAC ID
4284610296
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20050820000013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CONNIE LYNN BUTLER (MD)

  • 92, Main Street, Cassville, Barry County, Missouri, 65625, United States

    CASSVILLE, MO 656251610

    Phone: (417) 847-5225

    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)

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: 2023-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050820000013IFamily PracticeMOTBD
I20230815001781IFamily PracticeARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85610Blood test, clotting time4212$0
81003Automated urinalysis test1512$0
View full utilization report →

Insurance plans in this area (ZIP 65625)

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Provider's Procedures

DR. CONNIE LYNN BUTLER (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO85610Blood test, clotting time40631

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: 7416865845View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. CONNIE LYNN BUTLER (MD)?
The federal identifier for DR. CONNIE LYNN BUTLER (MD) is NPI 1255412417.
Is DR. CONNIE LYNN BUTLER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. CONNIE LYNN BUTLER (MD) work in?
You can think of DR. CONNIE LYNN BUTLER (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. CONNIE LYNN BUTLER (MD)?
The snapshot lists Cassville, Missouri for DR. CONNIE LYNN BUTLER (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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