DR. GARY J BUTCHKO (M.D.) – Pediatric Cardiology Physician, NPI 1285620203

DR. GARY J BUTCHKO (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 35.073196 (OH). The NPI Number for DR. GARY J BUTCHKO (M.D.) is 1285620203

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY J BUTCHKO (M.D.)
NPI
1285620203
Phone
(419) 206-2526
Address
3533 S ALAMEDA ST
Enumeration Date
26 September 2005
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2164445433
Graduation Year
1996 (30 years ago)
PAC ID
9739243007
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20090131000003
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

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Provider Addresses for DR. GARY J BUTCHKO (M.D.)

  • Driscoll Children's Hospital, 3533, South Alameda Street, Corpus Christi, Nueces County, Texas, 78411, United States

    SUITE 202

    CORPUS CHRISTI, TX 784111721

    Phone: (419) 206-2526

    Fax: (361) 694-4641

    Type: Mailing

  • 11100 EUCLID AVE # MS 6011

    CLEVELAND, OH 441061716

    Phone: (216) 402-2353

    Fax: (877) 991-4775

    Type: Location

  • 412 GREENBRIAR DR

    AVON LAKE, OH 440122185

    Phone: (216) 402-2353

    Fax: (977) 991-4775

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Averitas Pharma Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Averitas Pharma Inc.$21
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: 2024-06-11

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
I20090131000003ICardiovascular Disease (Cardiology)OHTBD
I20240611002857IPediatric MedicineNYTBD

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 78411)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does DR. GARY J BUTCHKO (M.D.) have a public NPI I can cite?
Public records show DR. GARY J BUTCHKO (M.D.) under NPI 1285620203.
Is DR. GARY J BUTCHKO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. GARY J BUTCHKO (M.D.) as active.
What does the directory say DR. GARY J BUTCHKO (M.D.) does?
Insurance directories may phrase it differently, but here DR. GARY J BUTCHKO (M.D.) maps to Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. GARY J BUTCHKO (M.D.)?
The directory associates DR. GARY J BUTCHKO (M.D.) with Corpus Christi, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. GARY J BUTCHKO (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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