Active NPI
Christopher Butler, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P-195
- Practice address
- 2221 N Ironwood Center Dr
Coeur D Alene, ID 83814-2697 - Phone
- (208) 667-3585
- Fax
- (866) 433-2607
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P-195 | ID | Primary |
Addresses
Primary practice location
2221 N Ironwood Center Dr
Coeur D Alene, ID 83814-2697
Mailing address
2221 N Ironwood Center Dr
Coeur D Alene, ID 83814-2697
Phone (208) 667-3585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807822600 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2221 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2697
Phone (208) 667-3585
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 29 |
| Removal of nail tissue | 359 |
| Removal or shaving of skin growth | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-195 | ID | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Ryan Averett DPM PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Coeur D Alene, ID
- NPI 1407047608
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
-
- Community/Retail Pharmacy
- Hayden, ID
- NPI 1235986290
-
- Hematology & Oncology Physician
- Coeur D Alene, ID
- NPI 1699807743
-
- Foot & Ankle Surgery Podiatrist
- Coeur D Alene, ID
- NPI 1679514186
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1659590677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 N IRONWOOD CENTER DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142697",
"telephone_number": "208-667-3585",
"fax_number": "866-433-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 N IRONWOOD CENTER DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142697",
"telephone_number": "208-667-3585",
"fax_number": "866-433-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CHRISTOPHER",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ID",
"license": "P-195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807822600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.