NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1285994277 M.D.
Verify on CMS → Robert Butler, M.D.
Emergency Medicine Physician in Providence, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
128
Medicare Part D claims · 89 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Robert Butler, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 128 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 128
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Robert Butler, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Robert Butler, M.D. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Butler, M.D. writes more Part D claims than 42% of them and scores higher on MIPS quality than 91% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Robert Butler, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robert 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).
What does the federal data show about Robert Butler, M.D.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
128 64% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Rhode Island
How Emergency Medicine Physician compares to other specialties among Rhode Island providers
Medicare quality performance, MIPS
Robert Butler, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work
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).
Robert Butler, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 593 EDDY ST, Providence, RI, 02903, with a listed phone of (401) 444-4247. NPI 1285994277 was issued on 05/23/2012.
Medicare Part D records for calendar year 2023 show 128 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 18.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1285994277 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/23/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Robert 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.
Community Medical Associates Inc
Louisville, KY
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.
128
Total Claims
$3K
Total Drug Cost
89
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 128
- Total Day Supply
- 1,005
- Generic Drug Cost
- $950
- Opioid Claims
- 24 (18.8% rate)
- Antibiotic Claims
- 36
Patient Demographics
- Average Patient Age
- 65.3 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 29, 65-74: 37, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 17 |
| Ibuprofen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Robert Butler, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Robert Butler, M.D.'s 128 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Butler.
Dr. Stephanie Aaron
DO
Warwick, RI
Dr. Fahad Ali
MD
Providence, RI
Dr. Katherine Allder
MD
Providence, RI
Dr. Amy Allen
MD
Providence, RI
Dr. Christopher Allison
MD
Providence, RI
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Rhode Island medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Robert Butler, M.D.'s specialty? ▼
Robert Butler, M.D. specializes in Emergency Medicine Physician and practices in Providence, Rhode Island. Credentials: M.D..
How much does Robert Butler, M.D. prescribe under Medicare Part D? ▼
In 2023, Robert Butler, M.D. wrote 128 Medicare Part D claims totaling $3K in drug costs for 89 beneficiaries.
What is Robert Butler, M.D.'s Medicare quality score? ▼
Robert Butler, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Butler, M.D. located? ▼
Robert Butler, M.D. is located at 593 EDDY ST, Providence, RI, 02903. Phone: (401) 444-4247.
What is Robert Butler, M.D.'s NPI number? ▼
Robert Butler, M.D.'s National Provider Identifier (NPI) is 1285994277, issued on 05/23/2012.
Does Robert Butler, M.D. prescribe opioids? ▼
Yes, Robert Butler, M.D. had 24 opioid claims in 2023 with an opioid prescribing rate of 18.8%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Robert Butler, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Butler, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Butler, M.D. accept Medicare? ▼
Robert Butler, M.D. appears in CMS Medicare data with 128 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Butler, M.D.'s credentials? ▼
Robert Butler, M.D.'s NPI is 1285994277 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.