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Active NPI 1366451890 Individual Practitioner Male Practitioner

Gordon Butzirus , PA-C

Physician Assistant • Idabel, OK

Professional Overview & Biography Verified Profile Summary

Gordon Butzirus, PA-C is a registered healthcare professional specializing in Physician Assistant in Idabel, OK. Practice services are available at 601 SE WASHINGTON ST under active NPI credentials.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with tracing, x-ray of chest, 2 views, x-ray of foot, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 Se Washington St

Idabel, OK 747453319

Telephone 5802866688
Fax 5802866699
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Idabel, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
19 19 $50.00 $5.65
71046 X-ray of chest, 2 views
11 11 $75.00 $26.10

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK PA45

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (OK)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Thomas Jones , DO

Family Medicine

NPI 1033119508

Doctor of Osteopathic Medicine (D.O.)

Steven Petticrew , PA-C

Physician Assistant - Medical

NPI 1154499374

Physician Assistant (Certified)

Ramona Goolsby , APRN-CNP

Nurse Practitioner - Family

NPI 1326006768

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Lisa Baracker , DO

Family Medicine

NPI 1326361668

Doctor of Osteopathic Medicine (D.O.)

Dr. Jose Gomez , MD

Family Medicine

NPI 1427083351

Doctor of Medicine (M.D.)

Jamie Bivings , LCSW

Social Worker - Clinical

NPI 1437593670

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2015

Registered at 601 SE WASHINGTON ST, IDABEL, OK 747453319 (Tel: 5802866688)

📍
Updated Business Mailing Address September 03, 2015

Registered at 601 SE WASHINGTON ST, IDABEL, OK 747453319 (Tel: 5802866688)

👤
Provider Name / Credentials Updated September 03, 2015

Recorded as GORDON BUTZIRUS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2015

Physician Assistant (License #PA45 in OK)

🟢
Initial NPI Registration & Enumeration August 05, 2006

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: 1366451890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: September 03, 2015
Sole Proprietor: No

Mailing Address

601 Se Washington St

Idabel, OK 747453319

Phone: 5802866688

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.