2026 NPPES data Orthopedic Physical Therapist NPI 1194004473 DPT
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Sean Butkus, DPT

Orthopedic Physical Therapist in Chester Springs, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,613 in Orthopedic Physical Therapist, 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.
MIPS score
95.3/100
▲ 12 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sean Butkus, DPT reported a CMS MIPS final score of 95.3/100 - above the 83.1 national average.

95.3/100
MIPS score · +12 vs avg

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.

Sean Butkus, DPT's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

95 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about Sean Butkus, DPT?

High performer (top quartile)

NPI registry status

Active

Issued 08/04/2011

NPI 1194004473

Primary specialty

Orthopedic Physical Therapist

Mid-sized

10,613 US NPIs in this specialty

MIPS final score

95.3/100 12.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Orthopedic Physical Therapist compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Orthopedic Physical Therapist - 0.2%Orthopedic Physical Therapist0.2%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Sean Butkus, DPT's 2023 MIPS final score plotted against the Orthopedic Physical Therapist national average

High performer (top quartile)
MIPS Final Score
95.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopedic Physical Therapist) - 95.3/100 vs national avg 83.1

0%100%National avg83%95.3%
MIPS final score (Orthopedic Physical Therapist) - 95.3/100 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).

Sean Butkus, DPT appears in the CMS NPPES registry as a Orthopedic Physical Therapist provider holding DPT credentials at 163 POTTSTOWN PIKE, Chester Springs, PA, 19425, with a listed phone of (610) 458-6464. NPI 1194004473 was issued on 08/04/2011.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Orthopedic Physical Therapist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.3/100 for the 2023 performance year (Quality 94.4), compared with the national average of 83.1.

Orthopedic Physical Therapist is a mid-sized specialty nationwide, with 10,613 enrolled providers across 51 states and an average of 148 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

163 POTTSTOWN PIKE
Chester Springs, PA 19425

Provider Details

NPI 1194004473
Specialty Orthopedic Physical Therapist
Credentials DPT
Gender Male
NPI Issued 08/04/2011

CMS Quality Score (MIPS)

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

95.2629
Final Score
Avg: 83.1
94.427
Quality

Reporting: Group practice

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Sean Butkus, DPT. To verify Sean Butkus, DPT's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Orthopedic Physical Therapist Overview

How Sean Butkus, DPT fits within the Orthopedic Physical Therapist landscape nationally.

10,613
Orthopedic Physical Therapist Providers in US
51
States with Orthopedic Physical Therapist
148
Avg Claims per Provider

Nearby Orthopedic Physical Therapist Providers in Pennsylvania

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

Compare Orthopedic Physical Therapist 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopedic Physical Therapist 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.

Frequently Asked Questions

What is Sean Butkus, DPT's specialty?
Sean Butkus, DPT specializes in Orthopedic Physical Therapist and practices in Chester Springs, Pennsylvania. Credentials: DPT.
What is Sean Butkus, DPT's Medicare quality score?
Sean Butkus, DPT has a CMS MIPS Final Score of 95.3/100 (Quality: 94.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sean Butkus, DPT located?
Sean Butkus, DPT is located at 163 POTTSTOWN PIKE, Chester Springs, PA, 19425. Phone: (610) 458-6464.
What is Sean Butkus, DPT's NPI number?
Sean Butkus, DPT's National Provider Identifier (NPI) is 1194004473, issued on 08/04/2011.
How many Orthopedic Physical Therapist providers are there in the US?
There are 10,613 Orthopedic Physical Therapist providers across 51 states in the US. The average Orthopedic Physical Therapist provider writes 148 Medicare Part D claims per year.
Does Sean Butkus, DPT accept Medicare?
Sean Butkus, DPT appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Butkus, DPT's credentials?
Sean Butkus, DPT's NPI is 1194004473 with credentials DPT. 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.
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.