Medicare Enrolled

Dr. Nancy Butler, MD

Otolaryngology · Daytona Beach, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
305 MEMORIAL MEDICAL PKWY STE 208, Daytona Beach, FL 32117
3862313593
In practice since 2006 (19 years)
NPI: 1770522377 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Butler from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Butler

Dr. Nancy Butler is an otolaryngology specialist in Daytona Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 520 Medicare services across 487 unique beneficiaries.

Between the years covered by Open Payments, Dr. Butler received a total of $1,856 from 17 pharmaceutical and/or device companies across 65 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Butler is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 520 Medicare services $1,856 industry payments

Medicare Practice Summary

Medicare Utilization ↗
520
Medicare services
Bottom 30% in FL for otolaryngology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
487
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~27 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min) 170 $118 $499
Office visit, established patient (30-39 min) 110 $93 $381
Removal of impacted ear wax 78 $31 $144
Office visit, established patient (20-29 min) 46 $64 $270
New patient office visit (30-44 min) 41 $79 $336
Diagnostic exam of voice box using a flexible endoscope 35 $98 $386
Removal of nasal air passage under lining tissue 14 $123 $822
Diagnostic exam of nasal passages using an endoscope 14 $110 $560
Reshaping of nasal cartilage 12 $470 $2,042
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,856
Total received (2018-2024)
Avg $265/year across 7 years
Top 42% in FL for otolaryngology
17
Companies
65
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,706 (91.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$150 (8.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$458
2023
$234
2022
$542
2021
$257
2020
$276
2019
$73
2018
$16

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$566
Stryker Corporation
$262
Acclarent, Inc
$201
GENZYME CORPORATION
$183
Medtronic USA, Inc.
$150
GlaxoSmithKline, LLC.
$138
Intersect ENT, Inc.
$83
Smith+Nephew, Inc.
$78
Olympus America Inc.
$34
Medtronic, Inc.
$32
ARBOR PHARMACEUTICALS, INC.
$30
KARL STORZ Endoscopy-America
$22
Boston Scientific Corporation
$19
ALK-Abello, Inc
$18
Integra LifeSciences Corporation
$15
Genentech USA, Inc.
$12
BOSTON SCIENTIFIC CORPORATION
$12
Top 3 companies account for 55.5% of total payments
Associated products mentioned in payments ›
7.5 FR. X 250MM RHINLARYNGO SCOPE · AMS Ambicor · AUDION ET DILATION SYSTEM · Acclarent Aera · Activase · CLARIFIX CRYOTHERAPY DEVICE · Coblation - Turbinate Wands · DUPIXENT · ENTELLUS - ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE · ENTELLUS - XEROGEL NASAL/EPISTAXIS PACK · ENTELLUS - XPRESS ENT DILATION SYSTEM · ENTELLUS MEDICAL FOCESS SINUSCOPE · HALO · INSTRUMENTS-ENT · LATERA · NUCALA · NUVENT · Otovel · PROPEL · RELIEVA SPINPLUS · REZUM · RHINO-LARYNGO VIDEOSCOPE · SCOPIS ENT · SINUVA · STANDARDIZED · TIMOTHY · TULA System · TruDi NAV Cable
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $357 per 100 Medicare services performed
Looking for an otolaryngology specialist in Daytona Beach?
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Geographic Context

Otolaryngologists within 10 mi
9
Per 100K population
1.6
County median income
$66,581
Nearest hospital
ADVENTHEALTH DAYTONA BEACH
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Butler is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Butler experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Butler performed 170 new patient office visit (45-59 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Butler receive payments from pharmaceutical companies?
Yes. Dr. Butler received a total of $1,856 from 17 companies across 65 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Butler's costs compare to other otolaryngologists in Daytona Beach?
Dr. Butler's average Medicare payment per service is $99. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Butler) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →