Madison Butz, PA-C
NPI 1528768959 · Physician Assistant · Gainesville, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Butz, PA-C is a Physician Assistant provider in Gainesville, VA (NPI 1528768959).
Provider details
- NPI number
- 1528768959
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0110009468 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 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
789 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 261 | $105 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 236 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 82 | $75 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 49 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 41 | $107 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 34 | 11 |
| Atorvastatin Calcium | 31 | 11 |
| Losartan Potassium | 28 | — |
| Levothyroxine Sodium | 27 | 13 |
| Metformin Hcl | 27 | — |
| Simvastatin | 26 | 12 |
| Empagliflozinbrand: Jardiance |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$850 across 34 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
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Frequently asked questions
- What is Madison Butz's NPI number?
- Madison Butz's National Provider Identifier (NPI) is 1528768959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Butz's specialty?
- Madison Butz is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison Butz located?
- Madison Butz's practice location on file with NPPES is 7051 Heathcote Village Way Ste 140, Gainesville, VA 20155-3198.
- What is Madison Butz's phone number?
- The practice phone number listed in the NPPES registry for Madison Butz is (571) 685-4388.
- Does Madison Butz accept Medicare?
- Madison Butz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Butz's NPI active?
- Yes — Madison Butz's NPI (1528768959) is active in the NPPES registry as of the last update on 2024-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.