MATTHEW BUTLER (PA) – Physician Assistant, NPI 1689075897

MATTHEW BUTLER (PA) is a healthcare provider. based in Kearney, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 52971 (CA). The NPI Number for MATTHEW BUTLER (PA) is 1689075897

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BUTLER (PA)
NPI
1689075897
Phone
(308) 865-2570
Address
2810 W 35TH ST
Enumeration Date
7 September 2014
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
9335462621
Group Practice PAC ID
9133227135
Professional Enrollment ID
I20190201000883
Address ID
CA960931229WEPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for MATTHEW BUTLER (PA)

  • 2810 W 35TH ST

    KEARNEY, NE 688452909

    Phone: (308) 865-2570

    Fax: (308) 865-2508

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Lilly USA, LLC ($19).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$19
ABBVIE INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190201000883IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68845)

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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: 9133227135View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MATTHEW BUTLER (PA)?
The federal identifier for MATTHEW BUTLER (PA) is NPI 1689075897.
Is MATTHEW BUTLER (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MATTHEW BUTLER (PA)?
The page reflects Physician Assistant for MATTHEW BUTLER (PA). Clinical services aligned with this taxonomy classification.
Where does public data place MATTHEW BUTLER (PA)?
The snapshot lists Kearney, Nebraska for MATTHEW BUTLER (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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