Benjamin Butler, MD
NPI 1245624279 · Pulmonary Disease Physician · Athens, GA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Butler, MD is a Pulmonary Disease Physician provider in Athens, GA (NPI 1245624279).
Provider details
- NPI number
- 1245624279
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.36493 (AL)
Specialties & taxonomies
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,595 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 255 | $202 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 176 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $117 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 136 | $50 |
| Test to Measure Expiratory Airflow and Volume94010 | 122 | $24 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 97 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 213 | 45 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 189 | 76 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 89 | 18 |
| Prednisone | 66 | 32 |
| Pantoprazole Sodium | 64 | 17 |
| Montelukast Sodium | 61 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$558 across 26 records (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
Additional practice locations (1)
- 2055 E South Blvd Ste 202Montgomery, AL 36116Phone: (334) 284-5211Fax: (334) 284-5216
Registry dates
- Enumerated
- 2015-03-27
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Frequently asked questions
- What is Benjamin Butler's NPI number?
- Benjamin Butler's National Provider Identifier (NPI) is 1245624279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Butler's specialty?
- Benjamin Butler is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Butler located?
- Benjamin Butler's practice location on file with NPPES is 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478.
- What is Benjamin Butler's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Butler is (706) 549-5560.
- Does Benjamin Butler accept Medicare?
- Benjamin Butler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Butler's NPI active?
- Yes — Benjamin Butler's NPI (1245624279) is active in the NPPES registry as of the last update on 2022-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.