Individual provider Active NPI

Jeffrey Ronald Buterbaugh, PA-C

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1326294216
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA14516 Issued in TX
Practice address
11675 Jollyville Rd Ste 207
Austin, TX 78759-4105
Phone
(512) 856-1000
Fax
(512) 856-4040
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14516 TX
Surgical Physician Assistant 363AS0400X C0003804 MD
Surgical Physician Assistant 363AS0400X PA14516 TX Primary

Addresses

Primary practice location

11675 Jollyville Rd Ste 207
Austin, TX 78759-4105

Mailing address

11675 Jollyville Rd Ste 207
Austin, TX 78759-4105
Phone (512) 856-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628000189 TX Practitioner - Physician Assistant 9931277696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Joel H Hurt MD PLLCGroup PAC ID 2163842295, 15 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105
Phone (512) 856-1000

1502 Blue Ridge Dr
Suite 201
Georgetown, TX 78626-1002
Phone (512) 856-1000

1701 N US Hwy 281
Marble Falls, TX 78654-4311
Phone (512) 856-1000

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.64
Improvement activities
40
Cost
56.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14516TXMDPhysician Assistant
C0003804MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1326294216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERBAUGH",
        "first_name": "JEFFREY",
        "middle_name": "RONALD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14516",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003804",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA14516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.