Mark Butler, M.D.
NPI 1063417905 · Orthopaedic Surgery Physician · Somerset, NJ
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Butler, M.D. is a Orthopaedic Surgery Physician provider in Somerset, NJ (NPI 1063417905).
Provider details
- NPI number
- 1063417905
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA04683900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
21 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,820 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 904 | $98 |
| X-Ray of Knee, 3 Views73562 | 605 | $45 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 355 | $80 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 287 | $132 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 250 | $121 |
| X-Ray of Hip, 2-3 Views73502 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 30 | 27 |
| Tramadol Hcl | 21 | 17 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Mark Butler's NPI number?
- Mark Butler's National Provider Identifier (NPI) is 1063417905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Butler's specialty?
- Mark Butler is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Butler located?
- Mark Butler's practice location on file with NPPES is 2 Worlds Fair Dr, Somerset, NJ 08873-1369.
- What is Mark Butler's phone number?
- The practice phone number listed in the NPPES registry for Mark Butler is (732) 537-0909.
- Does Mark Butler accept Medicare?
- Mark Butler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Butler's NPI active?
- Yes — Mark Butler's NPI (1063417905) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.