Active NPI 1275523409 Individual Practitioner Male Practitioner

Dr. Daniel A Butler , MD

Surgery • Middletown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Butler, MD is a certified Surgery practicing in Middletown, OH. With approximately 37 years of clinical experience since graduating from Indiana University School Of Medicine in 1989, Dr. Butler delivers high-quality medical care to the local community at 4040 ROOSEVELT BLVD.

Dr. Butler is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, removal of muscle and/or tissue, 20.0 sq cm or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4040 Roosevelt Blvd

Middletown, OH 450446619

Telephone 5134240941

Fax 5134249758

Associated Practice Facility / Clinic

🏢 Roosevelt Surgical Associates,inc. Facility NPI 1528007929

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +18.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Middletown, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Butler (37 Years) 37 Yrs

Middletown Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	293	67	$196.00	$51.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	204	40	$369.84	$140.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	37	$120.00	$73.99
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	137	16	$71.24	$24.07
97597 Removal of tissue from wound, 20.0 sq cm or less	109	36	$120.04	$33.71
99213 Established patient office or other outpatient visit, typically 15 minutes	107	56	$110.22	$62.51
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	82	15	$107.51	$52.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$250.00	$154.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	28	$70.00	$33.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$158.00	$77.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$190.00	$118.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	23	$230.00	$123.54
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$134.00	$85.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$300.00	$163.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$173.33	$92.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	326	88	$188.46	$51.61
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	241	47	$360.77	$145.40
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	137	25	$107.31	$53.53
97597 Removal of tissue from wound, 20.0 sq cm or less	126	54	$115.97	$34.26
99213 Established patient office or other outpatient visit, typically 15 minutes	109	74	$111.10	$63.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	41	$120.00	$75.57
97598 Removal of tissue from wound, each additional 20.0 sq cm	86	14	$40.28	$24.00
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	55	14	$60.64	$24.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$70.00	$33.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$247.00	$157.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$158.00	$79.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	34	$230.00	$123.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	23	$75.00	$46.38
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$134.00	$77.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$190.00	$110.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$168.57	$92.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$300.00	$170.17
11981 Insertion of drug delivery implant into tissue	18	17	$256.00	$29.21
11044 Removal of bone, 20.0 sq cm or less	16	11	$515.19	$205.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$46.00	$17.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$108.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	313	80	$188.60	$56.32
97597 Removal of tissue from wound, 20.0 sq cm or less	139	57	$117.63	$35.87
99213 Established patient office or other outpatient visit, typically 15 minutes	98	50	$110.73	$64.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	97	37	$363.66	$148.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	28	$120.00	$67.81
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	11	$61.33	$26.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$158.00	$82.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	38	$300.00	$193.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$247.00	$157.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$70.00	$35.58
99213 Established patient office or other outpatient visit, typically 15 minutes	30	19	$134.00	$85.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$190.00	$123.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$230.00	$125.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$75.00	$33.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$241.46	$132.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$165.00	$95.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$46.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	247	64	$184.92	$55.47
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	106	27	$343.77	$149.73
97597 Removal of tissue from wound, 20.0 sq cm or less	90	43	$117.71	$35.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	36	$120.00	$69.53
99213 Established patient office or other outpatient visit, typically 15 minutes	65	45	$110.00	$64.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$240.00	$161.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$300.00	$188.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	31	$230.00	$129.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	15	$75.00	$37.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$165.00	$98.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$241.00	$134.86
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$110.00	$89.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$158.00	$82.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	12	$155.00	$95.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$109.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$70.00	$35.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$160.00	$119.94
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2615.00	$729.48
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	11	11	$73.00	$14.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	267	61	$186.29	$59.47
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	99	30	$348.72	$154.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	44	$75.00	$38.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	50	$165.00	$78.20
97597 Removal of tissue from wound, 20.0 sq cm or less	85	34	$115.00	$37.21
99213 Established patient office or other outpatient visit, typically 15 minutes	83	50	$110.00	$50.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$135.00	$103.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	53	$240.00	$194.98
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	47	12	$242.04	$57.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$125.00	$105.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$241.00	$129.30
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	23	11	$65.22	$27.27
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$80.00	$72.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$78.00	$51.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$500.00	$18.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	310	84	$185.74	$51.15
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	113	23	$62.12	$26.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	51	$75.00	$38.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	61	$165.00	$76.93
99213 Established patient office or other outpatient visit, typically 15 minutes	96	53	$110.00	$49.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$135.00	$102.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	80	27	$347.88	$146.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	71	$240.00	$196.40
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	66	14	$114.82	$55.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$125.00	$104.37
97597 Removal of tissue from wound, 20.0 sq cm or less	46	28	$116.41	$23.67
11044 Removal of bone, 20.0 sq cm or less	36	19	$467.22	$224.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	23	$230.00	$108.47
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$80.00	$71.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$227.00	$126.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$500.00	$18.47
36825 Connection of donor vein to an artery and vein for dialysis	14	13	$1300.00	$744.96
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2716.00	$652.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	159	49	$188.62	$46.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	82	18	$348.37	$140.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	40	$165.00	$72.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	31	$75.92	$37.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$135.00	$98.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	45	$163.13	$127.87
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$80.00	$67.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$125.00	$100.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	25	$95.00	$69.13
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$125.00	$96.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$244.09	$192.49
97597 Removal of tissue from wound, 20.0 sq cm or less	20	12	$118.25	$22.37
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$108.42	$47.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	13	$230.00	$102.60
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$85.00	$69.87
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1416.57	$642.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$500.00	$17.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	212	11	$175.00	$106.46
11042 Removal of skin and tissue, 20.0 sq cm or less	202	48	$185.68	$53.16
99213 Established patient office or other outpatient visit, typically 15 minutes	103	39	$109.90	$48.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	26	$70.00	$24.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$116.98	$103.30
99213 Established patient office or other outpatient visit, typically 15 minutes	70	58	$76.71	$69.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	56	$147.71	$131.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	29	$47.20	$38.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	26	$91.63	$69.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	48	16	$346.40	$146.93
97597 Removal of tissue from wound, 20.0 sq cm or less	40	16	$115.00	$22.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	18	$114.92	$101.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$117.06	$100.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$243.57	$197.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$165.00	$75.06
36825 Connection of donor vein to an artery and vein for dialysis	19	18	$1331.58	$802.23
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1800.71	$690.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1557.14	$312.03
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$1084.62	$222.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$190.45	$157.92

Medical Specialties & State Licenses

CMS Verified: 2021-07-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35066726

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0973102 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

4040 Roosevelt Blvd, Middletown, OH 450446619

Phone: 9378329310

Premier Health Specialists Inc

1 Medical Ctr Dr, Middletown, OH 450052584

Phone: 5139742111

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

1 Medical Ctr Dr, Middletown, OH 450052584

Phone: 5139745197

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Gary Cobb , MD

Surgery

NPI 1497745608

Doctor of Medicine (M.D.)

Dr. Heather Adkins , MD

Surgery

NPI 1952628778

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4040 ROOSEVELT BLVD, MIDDLETOWN, OH 450446619 (Tel: 5134240941)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4040 ROOSEVELT BLVD, MIDDLETOWN, OH 450446619 (Tel: 5134240941)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL BUTLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35066726 in OH)

🟢

Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275523409

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2005

Last Update: July 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4040 Roosevelt Blvd

Middletown, OH 450446619

Phone: 5134240941

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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