2026 NPPES data Otolaryngology Physician NPI 1326045048 M.D.
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ALLEN BUTLER, M.D.

Otolaryngology Physician in GAINESVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
600
Medicare Part D claims · 256 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
87.8118/100
▲ 5 pts above national avg 83.1 · [object Object]
What the federal data reveals: ALLEN BUTLER, M.D. is a Otolaryngology Physician ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 600 claims across 256 beneficiaries . Their CMS MIPS Final Score of 87.8118/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ALLEN BUTLER, M.D. reported a CMS MIPS final score of 87.8118 out of 100, above the 83.1 national average, and filed 600 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALLEN BUTLER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ALLEN BUTLER, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/07/2005

NPI 1326045048

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

600 18% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

87.8118/100 4.711800000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Otolaryngology Physician compares to other specialties among Georgia providers

Georgia providers

Otolaryngology Physician share within Georgia

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Georgia

Medicare quality performance — MIPS

ALLEN BUTLER, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
87.8118/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 87.8118/100 vs national avg 83.1

0%100%National avg83%87.8%
MIPS final score (Otolaryngology Physician) — 87.8118/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALLEN BUTLER, M.D. is a Otolaryngology Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1326045048. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALLEN BUTLER, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA, 30501, with a listed phone of (770) 536-4352. NPI 1326045048 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUTLER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 600 prescription claims written by this provider, covering 256 Medicare beneficiaries and totaling roughly $14K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.8118/100 for the 2023 performance year (Quality 73.5143, Cost 94.687), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2406 LIGHTHOUSE MANOR DR
GAINESVILLE, GA 30501

Provider Details

NPI 1326045048
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.8118
Final Score
Avg: 83.1
73.5143
Quality
94.687
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALLEN BUTLER, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTHEAST GEORGIA OTOLARYNGOLOGY
GAINESVILLE, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

600
Total Claims
$14K
Total Drug Cost
256
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
757
Total Day Supply
19,931
Generic Drug Cost
$12K
Antibiotic Claims
59

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.19
Gender Split
57% female / 43% male
Age Distribution
<65: 30, 65-74: 127, 75-84: 87, 85+: 12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluticasone Propionate
264
Omeprazole
63
Ipratropium Bromide
57
Methylprednisolone
31
Clindamycin Hcl
20
Azelastine Hcl
15
Fluocinolone Acetonide Oil
15
Levofloxacin
13
Olopatadine Hcl
12
Pantoprazole Sodium
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How ALLEN BUTLER, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

ALLEN BUTLER, M.D.'s 600 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BUTLER.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALLEN BUTLER, M.D.'s specialty?
ALLEN BUTLER, M.D. specializes in Otolaryngology Physician and practices in GAINESVILLE, Georgia. Credentials: M.D..
How much does ALLEN BUTLER, M.D. prescribe under Medicare Part D?
In 2023, ALLEN BUTLER, M.D. wrote 600 Medicare Part D claims totaling $14K in drug costs for 256 beneficiaries.
What is ALLEN BUTLER, M.D.'s Medicare quality score?
ALLEN BUTLER, M.D. has a CMS MIPS Final Score of 87.8118/100 (Quality: 73.5143, Cost: 94.687). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALLEN BUTLER, M.D. located?
ALLEN BUTLER, M.D. is located at 2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA, 30501. Phone: (770) 536-4352.
What is ALLEN BUTLER, M.D.'s NPI number?
ALLEN BUTLER, M.D.'s National Provider Identifier (NPI) is 1326045048, issued on 07/07/2005.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does ALLEN BUTLER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALLEN BUTLER, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Omeprazole, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALLEN BUTLER, M.D. accept Medicare?
ALLEN BUTLER, M.D. appears in CMS Medicare data with 600 Part D claims and 256 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALLEN BUTLER, M.D.'s credentials?
ALLEN BUTLER, M.D.'s NPI is 1326045048 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology