EDWARD P BUTLER MD
NPI 1699756916
Internal Medicine - Infectious Disease in Medford, MA
NPI Status: Active since November 14, 2005
Contact Information
170 GOVERNORS AVE
LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA
ZIP 02155
Phone: (781) 306-6264
Fax: (781) 306-6267
- Individual
- Male
- Internal Medicine
- Infectious Disease
- PECOS Enrolled
About EDWARD BUTLER
This page provides the complete NPI Profile along with additional information for Edward Butler, an internist established in Medford, Massachusetts with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1699756916 assigned on November 2005. The practitioner's primary taxonomy code is 207RI0200X with license number 40936 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1699756916
- Provider Name
- EDWARD P BUTLER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL MEDFORD, MA 02155
- Location Phone
- (781) 306-6264
- Location Fax
- (781) 306-6267
- Mailing Address
- 170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL MEDFORD, MA 02155
- Mailing Phone
- (781) 306-6264
- Mailing Fax
- (781) 306-6267
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2005
- Last Update Date
- 04-03-2013
- Code Navigator
An internist like Edward Butler is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 40936
- License State
- MA
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0111139 | MEDICAID (05) | MA | |
| E05327 | MEDICARE PIN (08) | MA | |
| EO5327 | OTHER (01) | MA | BLUE CROSS LEGACY # |
| 040936 | OTHER (01) | MA | TUFTS |
| 63278 | OTHER (01) | MA | HARVARD PILGRIM |
| D82825 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Edward Butler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 13 times for 11 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 31 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02155 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 5 | 6 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 5 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 5 + 1 + 2 + 9 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1699756916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194714550 | PAULA M FANG MD Individual | Internal Medicine | 170 GOVERNORS AVE PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL MEDFORD, MA 02155 (781) 306-6180 |
| 1235129750 | BERNADETTE CHAN MD Individual | Obstetrics & Gynecology (Gynecology) | 170 GOVERNORS AVE PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL MEDFORD, MA 02155 (781) 306-6103 |
| 1801887831 | DR. ROBERT S WEINSTEIN MD Individual | Internal Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 391-0801 |
| 1134110398 | DR. JOSEPH M MURPHY JR. M.D. Individual | Internal Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 391-4106 |
| 1801877121 | SUE ZARINSKY SUSSMAN RNCS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL-PSYCH MEDFORD, MA 02155 (781) 306-6150 |
| 1467433748 | DR. DAVID L BARRASSO M.D. Individual | Internal Medicine (Geriatric Medicine) | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 937-9960 |
| 1508847823 | DR. LAKSHMI MUDUNURI M.D. Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 306-6163 |
| 1649253931 | DR. MICHAEL BARRY STEVENS M.D. Individual | Family Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 391-0801 |
| 1851375216 | DR. JAMES A SMITH MD Individual | Internal Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 937-9960 |
| 1245218676 | MYSTIC MEDICAL GROUP, INC. Organization | Internal Medicine (Pulmonary Disease) | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 391-4106 |
| 1770563900 | HALLMARK HEALTH MEDICAL ASSOCIATES INC Organization | Family Medicine | 170 GOVERNORS AVE ATTN: PROVIDER ENROLLMENT MEDFORD, MA 02155 (781) 338-7521 |
| 1487614632 | GIULIA HANNA MARIA SCARANTINO M.D. Individual | Internal Medicine | 170 GOVERNORS AVE LAWRENCE MEMORIAL HOSPITAL MEDFORD, MA 02155 (781) 306-6000 |
| 1437199437 | MICHAEL WAGNER MD Individual | Internal Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (508) 486-5678 |
| 1780611962 | JAMES M COLEMAN MD Individual | Radiology (Diagnostic Radiology) | 170 GOVERNORS AVE RADIOLOGY DEPARTMENT MEDFORD, MA 02155 (781) 306-6800 |
| 1578596599 | AEGER INPATIENT SERVICES Organization | Internal Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (508) 486-5678 |
| 1922110287 | MARY BUECHLER MD Individual | Emergency Medicine | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 306-6300 |
| 1558577908 | MRS. ANNETTE KAY NEDELJKOVIC P.T. Individual | Physical Therapist | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 306-6000 |
| 1154537496 | MRS. CAMILLE ROSE ROSSETTI P.T.A. Individual | Physical Therapy Assistant | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 395-7750 |
| 1710193974 | KATHLEEN A FRAZIER P.T. Individual | Physical Therapist | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 306-6000 |
| 1750592200 | MRS. STACEY ANNE MANTENUTO PT, MSPT Individual | Physical Therapist | 170 GOVERNORS AVE MEDFORD, MA 02155 (781) 306-6950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699756916, enumerated in the NPI registry as an "individual" on November 14, 2005
The provider is located at 170 Governors Ave Lawrence Memorial Hospital Medford, Ma 02155 and the phone number is (781) 306-6264
The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on November 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.