Roy T Butera, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G35235 Issued in CA

Practice address

2230 Lynn Rd Ste 102
Thousand Oaks, CA 91360-1920

Phone

(805) 495-0458

Fax

(805) 494-9630

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.24 of 100Reported as group

Quality

86.17

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: r.butera@direct.mesmg.com

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.

• Miramar Eye Specialists Medical Group, Inc

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1992746382
  Medicare reassignment Care Compare group NPD
• Lynn Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
  • NPI 1255472841
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1730205337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601920",
            "telephone_number": "805-495-0458",
            "fax_number": "805-494-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601920",
            "telephone_number": "805-495-0458",
            "fax_number": "805-494-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "ROY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G35235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "G35235",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.butera@direct.mesmg.com",
            "affiliation": "Y",
            "affiliationName": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC",
            "address_1": "2230 Lynn Rd Ste 102",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913601920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rodney Paul Burton, DDS
• Burts Specialty Pharmacy
• Burts Specialty Pharmacy
• Tjerk F Bury, MD
• Carolina Bustos
• Matthew Butler
• Jessica Buttafuoco, AMFT # 143957
• Bvos
• Christopher Byerrum
• Monica Elizabeth Bykov, IBCLC, R.N.

• Ophthalmology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.

Verify at the official NPI Registry.