Medicare Enrolled

Dr. Alexander Butler, M.D.

Orthopaedic Surgery of the Spine Physician · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
133 EAST 77TH STREET, New York, NY 10075
2124344160
In practice since 2016 (10 years)
NPI: 1083076053 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. Alexander Butler is an orthopaedic surgery of the spine physician in New York, NY, with 10 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 530 Medicare services across 381 unique beneficiaries.

Between the years covered by Open Payments, Dr. Butler received a total of $19,068 from 19 pharmaceutical and/or device companies across 119 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. 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.

✓ 10 years in practice ▲ Top 44% volume in NY $19,068 industry payments

Medicare Practice Summary

Medicare Utilization ↗
530
Medicare services
Top 44% in NY for orthopaedic surgery of the spine physician
381
Unique beneficiaries
$131
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~53 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
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
121 $159 $1,148
New patient office visit, complex (60-74 min) 88 $193 $1,365
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
77 $65 $1,312
Additional spine bone segment removal
Surgical removal of an additional segment of bone from the spine during the same procedure.
69 $69 $1,228
X-ray of lower and sacral spine, minimum of 4 views
An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints.
38 $46 $332
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
28 $104 $649
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
23 $113 $1,211
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
21 $36 $244
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
15 $515 $6,998
Lower spine bone segment removal
A surgical procedure to cut into or remove a segment of bone from the lower spine.
13 $212 $4,319
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
13 $167 $2,515
Surgical removal of middle spine bone segment
A surgical procedure to cut into or remove a segment of bone from the middle section of the spine.
12 $186 $3,827
X-ray of entire middle and lower spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the entire middle and lower spine to visualize the bones and structures in these areas.
12 $62 $379
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.
21.7% high complexity
0.0% medium
78.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$19,068
Total received (2019-2024)
Avg $3,814/year across 5 years
Top 46% in NY for orthopaedic surgery of the spine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
119
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
$16,202 (85.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,867 (15.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$9,862
2023
$3,154
2022
$1,497
2021
$2,242
2019
$2,313

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alphatec Spine, Inc
$5,311
Stryker Corporation
$1,780
Medtronic, Inc.
$785
Life Spine, Inc.
$609
Arthrex, Inc.
$491
Globus Medical, Inc.
$432
Curiteva, Inc.
$174
Suvon Surgical Llc
$129
Augmedics Inc.
$126
DePuy Synthes Sales Inc.
$25
Top 3 companies account for 79.9% of 2024 payments
All-time payments by company (2019-2024) ›
Alphatec Spine, Inc
$5,311
Stryker Corporation
$4,646
SOUTHERN EDGE ORTHOPAEDICS, INC.
$2,313
NuVasive, Inc.
$1,541
Medtronic, Inc.
$1,302
Life Spine, Inc.
$609
Arthrex, Inc.
$491
Spineology Inc.
$481
Globus Medical, Inc.
$432
Medical Device Business Services, Inc.
$371
DePuy Synthes Sales Inc.
$293
Curiteva, Inc.
$263
Augmedics Inc.
$236
MML US, Inc.
$204
SI-BONE, INC.
$157
DJO, LLC
$146
Suvon Surgical Llc
$129
Providence Medical Technology, Inc.
$123
SI-BONE, Inc.
$19
Top 3 companies account for 64.3% of all-time payments
Associated products mentioned in payments ›
Biologics · CASCADIA INTERBODY SYSTEM · CENTRIC - T RETRACTOR · CMF · CONDUIT · DIVERGENCE-L ANTERIOR/OBLIQUE LUMBAR FUSION SYSTEM · Direct Look · ES2 SPINAL SYSTEM · EVEREST SPINAL SYSTEM · ExcelsiusGPS Robotic Navigation System · FIBERGRAFT BG MORSELS · FIBERGRAFT BG Morsels · INTELLIS ADAPTIVESTIM · Invictus OPEN · MAKO · MAZOR X SYSTEM · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · Other - Miscellaneous · ProLift Micro · RELINE · ReActiv8 · SERRATO · STEALTHSTATION S8 PLATFORM · TRITANIUM · XLIF · Xvision · YUKON OCT SPINAL SYSTEM
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 (85%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an orthopaedic surgery of the spine physician in New York?
Compare orthopaedic surgery of the spine physicians in the New York area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopaedic surgery of the spine physicians within 10 mi
120
Per 100K population
7.4
County median income
$104,553
Nearest hospital
LENOX HILL HOSPITAL
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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Butler is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Butler experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Butler performed 121 office visit, established patient, complex (40-54 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 $19,068 from 19 companies across 119 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 orthopaedic surgery of the spine physicians in New York?
Dr. Butler's average Medicare payment per service is $131. 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 →
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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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 →