NPPES file of Aug 9, 2026

Benjamin Butler, MD

Pulmonary Disease Physician · Athens, GA

Benjamin Butler, MD is a pulmonary disease physician with a practice address in Athens, Georgia, and NPI 1245624279, issued on Mar 27, 2015. Check the license (Georgia 92980, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245624279
Name
Benjamin Butler
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License numbers
92980 GA
MD.36493 AL
Self-reported in NPPES; status is on the state search
Practice location
3320 Old Jefferson RD Ste 200A, Athens, GA 30607
Phone
(706) 549-5560
Enumerated
Mar 27, 2015
Record last updated
Aug 8, 2022
Fax
(706) 543-2593
Medicare enrollment
Enrolled (PECOS I20220815002934); accepts Medicare assignment
Medical or professional school
Medical College Of Georgia School Of Medicine, 2015
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3320 Old Jefferson RD Ste 200A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Eduardo Martinez, M.D.Pulmonary Disease Physician1265789366
  2. Christen McCabe, FNPFamily Nurse Practitioner1659983948
  3. Andrew McKown, MDPulmonary Disease Physician1942594973
  4. Nicole Shepard, AG-ACNPAcute Care Nurse Practitioner1043989064
  5. Sarah Standard Bennett, FNP-CNurse Practitioner1861982993
  6. Sumeer TahSleep Medicine (Internal Medicine) Physician1114421682

Verify Benjamin Butler in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 92980
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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22% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

1,112 Medicare Part D claims for 215 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 65% of claims.

  1. Benjamin Butler1,112
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta213 claims
  2. Albuterol Sulfate Hfa189 claims
  3. Anoro Ellipta89 claims
  4. Prednisone66 claims
  5. Pantoprazole Sodium64 claims
  6. Montelukast Sodium61 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $557.55

26 payments; by number, the most common kind was food and beverage; the largest payer was Boehringer Ingelheim Pharmaceuticals, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Benjamin Butler$557.55
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Athens Pulmonary And Allergy, P.C.Athens, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Benjamin Butler among 399 pulmonary disease physician records in Georgia

Benjamin Butler, MD is one of 399 pulmonary disease physician records with a practice address in Georgia. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 86% of them.

  • NPI issued2015 · 86% of these records are older, 12% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2015 · median 2003 among the 320 with a school on file
  • Record last updated2022 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Georgia

There are 399 pulmonary disease physician records in Georgia.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Nehal Bhatt, M.D.Athens, GA 306071255406377
  2. Jakemia Coleman, MDAthens, GA 306071932116373
  3. Francis Jenkins, MDAthens, GA 306071487640850
  4. Karan Julka, MDAthens, GA 306071811963184
  5. John Lazenby, MDAthens, GA 306071043205719
  6. Stephen Lucas, MDAthens, GA 306071346235074
  7. Thomas Martin, MDAthens, GA 306071245410653
  8. Eduardo Martinez, M.D.Athens, GA 306071265789366

Common questions

What is Benjamin Butler, MD's NPI number?

Benjamin Butler, MD's National Provider Identifier (NPI) is 1245624279, issued on Mar 27, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Benjamin Butler, MD located?

The NPPES record lists a practice address at 3320 Old Jefferson RD Ste 200A, Athens, GA, 30607. Phone: (706) 549-5560. Providers update this record themselves, so call before visiting.

How can I verify Benjamin Butler, MD's license?

NPPES lists Georgia license number 92980, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Benjamin Butler, MD prescribe under Medicare Part D?

In 2024, Benjamin Butler, MD had 1,112 Medicare Part D claims for 215 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Benjamin Butler, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.