DR. ROBERT DONOVAN BUTTER (D.O.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1265490809
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ROBERT DONOVAN BUTTER (D.O.)
11212 State Highway 151
Plaza 2 Suite 300
San Antonio, TX 782514498
Phone: (210) 703-8454
Fax: (210) 703-8461
Type: Location
5224 75TH ST STE D
LUBBOCK, TX 794242525
Phone: (806) 712-1096
Fax: (806) 771-2093
Type: Mailing
1301 WONDER WORLD DR
SAN MARCOS, TX 786667533
Phone: (512) 353-8979
Type: Location
Bodyscapes Medical Spa, 7008, Indiana Avenue, Lubbock, Texas, 79413, United States
SUITE # A
LUBBOCK, TX 794136114
Phone: (806) 698-8088
Fax: (806) 698-8588
Type: Mailing
CHRISTUS Santa Rosa - Westover Hills, 11212, State Highway 151, Westover Hills, San Antonio, Bexar County, Texas, 78251, United States
PLAZA 2 SUITE 300
SAN ANTONIO, TX 782514498
Phone: (210) 703-8454
Fax: (210) 703-8461
Type: Location
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: 2004-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040804001577 | I | Emergency Medicine | TX | TBD |
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.
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 78251)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | TX | 11042 | Removal of skin and tissue first 20 sq cm or less | 76 | 36 |
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