JASON ROBERT BUTLER (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1710142484

JASON ROBERT BUTLER (M.D.) is a healthcare provider. based in Arlington, Texas. specializing in SPORTS MEDICINE, FAMILY PRACTICE, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. N0671 (TX). The NPI Number for JASON ROBERT BUTLER (M.D.) is 1710142484

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JASON ROBERT BUTLER (M.D.)
NPI
1710142484
Phone
(817) 419-6111
Address
2001 SE GREEN OAKS BLVD
Enumeration Date
22 July 2008
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8174196111
Graduation Year
2007 (19 years ago)
PAC ID
7618154873
Group Practice PAC ID
7315324555
Professional Enrollment ID
I20110615000851
Address ID
TX760637816MA74XXXPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

496 SPORTS MEDICINE in TX

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Provider Addresses for JASON ROBERT BUTLER (M.D.)

  • 2001, Southeast Green Oaks Boulevard, Arlington, Tarrant County, Texas, 76018, United States

    SUITE 130

    ARLINGTON, TX 760180951

    Phone: (817) 419-6111

    Type: Mailing

  • 74 REGENCY PKWY

    MANSFIELD, TX 760630951

    Phone: (817) 419-6111

    Fax: (817) 419-9582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,541.

Total Amount is formed as General ($1,541) + Research ($0) + Ownership ($0) = $1,541.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($566).

Total Amount

$1,541

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2011-06-15

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
I20110615000851IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes674168$0
99214Established patient office or other outpatient visit, 30-39 minutes394156$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level2814$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level2512$0
View full utilization report →

Insurance plans in this area (ZIP 76018)

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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: 7315324555View full group profile
NameSpecialtyState
Interventional Pain Management, Pain ManagementTX
Interventional Pain Management, Osteopathic Manipulative Medicine, Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

How is JASON ROBERT BUTLER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JASON ROBERT BUTLER (M.D.) with NPI 1710142484.
Can I rely on JASON ROBERT BUTLER (M.D.) being an active provider?
As of the registry snapshot, JASON ROBERT BUTLER (M.D.) is marked active.
What is JASON ROBERT BUTLER (M.D.) best known for clinically?
Directory data describes JASON ROBERT BUTLER (M.D.) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is JASON ROBERT BUTLER (M.D.) based?
JASON ROBERT BUTLER (M.D.) is tied to Arlington, Texas in the data we show; additional addresses may exist on the full record.
Why does JASON ROBERT BUTLER (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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