Individual provider Active NPI

Jason Robert Butler, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Mansfield, TX
National Provider Identifier
1710142484
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
N0671 Issued in TX
Practice address
74 Regency Pkwy
Mansfield, TX 76063-7816
Phone
(817) 419-6111
Fax
(817) 419-9582
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0671 TX
Interventional Pain Medicine Physician 208VP0014X N0671 TX
Sports Medicine (Family Medicine) Physician 207QS0010X N0671 TX Primary

Addresses

Primary practice location

74 Regency Pkwy
Mansfield, TX 76063-7816

Mailing address

74 Regency Pkwy
Mansfield, TX 76063-0951
Phone (817) 419-6111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000851 TX Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Pain Management 7618154873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management, Sports Medicine
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regency Pain, PLLCGroup PAC ID 7315324555, 2 clinicians

Practice addresses (Care Compare)

74 Regency Pkwy
Mansfield, TX 76063-7816
Phone (817) 419-6111

Merit-based Incentive Payment System (MIPS)

Final score
76.17 of 100Reported as group
Quality
62.89
Improvement activities
40
Cost
65.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N0671TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Pain, PLLC Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Medical Expense Division, Inc. Current Accepting new patients
Impact Medical and Chiropractic, PLLC Family Medicine CurrentSince Jun 7, 2018 Accepting new patients
Mark Dirnberger DO PA CurrentSince Mar 30, 2013 Accepting new patients
Jessica R. Judge DC, LLC Past Accepting new patients
Bachman Lake Emergency Physicians PLLC Past Accepting new patients
Perc Emergency Physicians Past Accepting new patients
Hogan Chiropractic PLLC PastSince Oct 15, 2017 Accepting new patients

Locations

2001 SE Green Oaks Blvd
Ste 130
Arlington, TX 76018
Phone (817) 419-6111

16970 Dallas Pkwy
Ste 500
Dallas, TX 75248
Phone (972) 248-1303

11180 FM 156
Ste 303
Justin, TX 76247
Phone (940) 648-1700

112 W 4th St
Ste B
Justin, TX 76247
Phone (940) 648-1700

74 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-6111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23023/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCAICD
  • Direct secure messaging: jbutler@direct.uspi.com
  • FHIR API: https://api.platform.athenahealth.com/11201/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.butler.1@11201.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710142484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760630951",
            "telephone_number": "817-419-6111",
            "fax_number": "817-419-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637816",
            "telephone_number": "817-419-6111",
            "fax_number": "817-419-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2024-02-20",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0671",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N0671",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N0671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.