MRS. ALICIA BUTERBAUGH (RD, LD, CDE) – Metabolic Nutrition Registered Dietitian, NPI 1073126389

MRS. ALICIA BUTERBAUGH (RD, LD, CDE) is a healthcare provider. based in Beavercreek, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LD, CDE. The NPI Number for MRS. ALICIA BUTERBAUGH (RD, LD, CDE) is 1073126389

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALICIA BUTERBAUGH (RD, LD, CDE)
NPI
1073126389
Phone
(937) 401-7575
Address
2510 COMMONS BLVD STE 160
Enumeration Date
26 August 2020
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
1986 (40 years ago)
PAC ID
0648290288
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20051129000222
Address ID
OH454292405KE4441XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
abuterbaugh3252@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

Provider Addresses for MRS. ALICIA BUTERBAUGH (RD, LD, CDE)

  • 2510 COMMONS BLVD STE 160

    BEAVERCREEK, OH 454313834

    Phone: (937) 401-7575

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

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: 2005-11-29

PECOS data refreshed: 2026-06-15

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
I20051129000222IRegistered Dietitian Or Nutrition ProfessionalOHTBD

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
97802Therapy procedure for nutrition management, each 15 minutes18048$0
G0108Diabetes outpatient self-management training services, individual, per 30 minutes17766$0
97803Therapy procedure reassessment for nutrition management, each 15 minutes13236$0
View full utilization report →

Insurance plans in this area (ZIP 45431)

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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: 3173710936View full group profile
NameSpecialtyState
Nurse PractitionerOH
Radiation OncologyOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Physician AssistantOH
G A S T R O E N T E R O L O G YOH
Physician AssistantOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Vascular SurgeryOH

Reviews

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Frequently asked questions

How do payers reference MRS. ALICIA BUTERBAUGH (RD, LD, CDE)?
For MRS. ALICIA BUTERBAUGH (RD, LD, CDE), use NPI 1073126389 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. ALICIA BUTERBAUGH (RD, LD, CDE)?
You should see MRS. ALICIA BUTERBAUGH (RD, LD, CDE) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. ALICIA BUTERBAUGH (RD, LD, CDE)?
MRS. ALICIA BUTERBAUGH (RD, LD, CDE)'s specialty line reads Metabolic Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is MRS. ALICIA BUTERBAUGH (RD, LD, CDE) associated with Beavercreek?
Public fields place MRS. ALICIA BUTERBAUGH (RD, LD, CDE) around Beavercreek, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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