Medicare Enrolled
Dr. Stephen Butler, DO
Family Medicine · Dartmouth, MA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Stephen Butler is a family medicine specialist in Dartmouth, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 3,988 Medicare services across 3,184 unique beneficiaries.
Between the years covered by Open Payments, Dr. Butler received a total of $2,611 from 21 pharmaceutical and/or device companies across 174 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 4% volume in MA
$2,611 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,988
Medicare services
Top 4% in MA for family medicine
3,184
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~199 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
503 | $8 | $17 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
408 | $8 | $26 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
400 | $10 | $36 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
385 | $13 | $50 |
| Direct bilirubin level test A blood test that measures the amount of direct bilirubin in your body. Direct bilirubin is the form of the waste product processed by the liver. |
314 | $5 | $17 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
310 | $87 | $370 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
297 | $65 | $250 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
247 | $16 | $58 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
135 | $9 | $40 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
94 | $14 | $48 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
92 | $19 | $62 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
80 | $6 | $30 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
79 | $5 | $30 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
67 | $29 | $99 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
51 | $15 | $51 |
| Iron level test | 50 | $6 | $22 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
50 | $9 | $30 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
47 | $13 | $46 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
46 | $31 | $100 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
43 | $76 | $164 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
32 | $83 | $350 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
26 | $8 | $29 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
23 | $6 | $22 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
22 | $43 | $170 |
| Liver function blood test panel | 21 | $8 | $28 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
20 | $4 | $16 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
17 | $40 | $200 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
17 | $226 | $737 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
16 | $34 | $135 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
15 | $7 | $30 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
15 | $6 | $30 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
15 | $14 | $48 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
14 | $169 | $529 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
13 | $3 | $11 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
13 | $11 | $140 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
11 | $18 | $55 |
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 2020 ↗$2,611
Total received (2018-2020)
Avg $870/year across 3 years
Top 9% in MA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
174
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
$2,611 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2020
$184
2019
$1,162
2018
$1,265
Payments by company (2020)
Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$43
PFIZER INC.
$31
Amarin Pharma Inc.
$26
GlaxoSmithKline, LLC.
$22
Genentech USA, Inc.
$19
Lilly USA, LLC
$15
Kowa Pharmaceuticals America, Inc.
$14
Merck Sharp & Dohme Corporation
$13
Top 3 companies account for 54.4% of 2020 payments
All-time payments by company (2018-2020) ›
AstraZeneca Pharmaceuticals LP
$443
PFIZER INC.
$438
Janssen Pharmaceuticals, Inc
$322
Takeda Pharmaceuticals U.S.A., Inc.
$234
Merck Sharp & Dohme Corporation
$202
GlaxoSmithKline, LLC.
$147
Boehringer Ingelheim Pharmaceuticals, Inc.
$137
Shire North American Group Inc
$115
Lilly USA, LLC
$108
Kowa Pharmaceuticals America, Inc.
$95
Melinta Therapeutics, Inc.
$74
Allergan Inc.
$56
Amarin Pharma Inc.
$54
Novartis Pharmaceuticals Corporation
$45
Genentech USA, Inc.
$34
Grifols USA, LLC
$23
West-Ward Pharmaceuticals
$23
Novo Nordisk Inc
$21
Ironwood Pharmaceuticals, Inc
$15
Circassia Pharmaceuticals Inc
$14
Sunovion Pharmaceuticals Inc.
$12
Top 3 companies account for 46.1% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · ANORO · BASAGLAR · BEVESPI AEROSPHERE · BEXSERO · Baxdela · CHANTIX · ENTRESTO · EUCRISA · FARXIGA · INVOKANA · JANUVIA · JARDIANCE · LYRICA · Linzess · Livalo · Mitigare · NUCALA · Ozempic · PNEUMOVAX 23 · Prolastin-C Liquid · ROTATEQ · SHINGRIX · SIVEXTRO · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Trintellix · Uloric · Utibron · VIBERZI · VYVANSE · Vascepa · XARELTO · Xofluza
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for family medicine in MA.
Geographic Context
Family medicine physicians within 10 mi
425
Per 100K population
73.5
County median income
$84,198
Nearest hospital
SOUTHCOAST BEHAVIORAL HEALTH
0.0 mi
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 2020 |
| 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Butler is a clinical cardiology specialist, with above-average Medicare volume (top 4% in MA), with low-engagement industry engagement in the top 9% of MA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Butler experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Butler performed 503 blood draw (venipuncture) 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 $2,611 from 21 companies across 174 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 family medicine physicians in Dartmouth?
Dr. Butler's average Medicare payment per service is $24. 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. Data Coverage reflects 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.
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