Medicare Enrolled

Dr. Adrian Butler, MD

Orthopedic Surgery · Tyler, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
700 OLYMPIC PLAZA CIR STE 600, Tyler, TX 75701
9035963488
Registered in NPPES since 2007
NPI: 1457473597 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. Adrian Butler is an orthopedic surgery specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 513 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Butler received a total of $16,829 from 24 pharmaceutical and/or device companies across 138 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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.

✓ 19 years of NPI registration ▲ 513 Medicare services $16,829 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
513
Medicare services
Bottom 30% in TX for orthopedic surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
75 $6 $34
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
65 $61 $216
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.
59 $51 $149
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
55 $5 $16
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
50 $27 $121
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
45 $6 $35
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.
36 $73 $219
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
25 $5 $40
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
24 $98 $365
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
20 $125 $449
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
17 $29 $84
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
16 $26 $216
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
14 $32 $138
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
12 $91 $262
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$16,829
Total received (2018-2024)
Avg $2,404/year across 7 years
Top 24% in TX for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
138
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,898
2023
$1,125
2022
$199
2021
$7,973
2020
$111
2019
$3,497
2018
$2,025

Payments by company (2024)

Pylant Medical
$795
Arthrex, Inc.
$521
AXOGEN
$220
Integra LifeSciences Corporation
$165
Endo USA, Inc.
$67
PolyNovo North America LLC
$51
Endo Pharmaceuticals Inc.
$23
Bioventus LLC
$21
Ferring Pharmaceuticals Inc.
$20
Sonex Health, Inc.
$15
Top 3 companies account for 81.0% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$4,092
Zimmer Biomet Holdings, Inc.
$2,583
MicroAire Surgical Instruments LLC
$2,201
AXOGEN
$2,076
Sonex Health, Inc.
$1,571
Integra LifeSciences Corporation
$1,019
Pylant Medical
$833
Mid-Atlantic Surgical Systems, LLC
$797
Stryker Corporation
$468
DePuy Synthes Sales Inc.
$246
Anika Therapeutics, Inc.
$226
Endo Pharmaceuticals Inc.
$145
Medical Device Business Services, Inc.
$116
Medtronic USA, Inc.
$93
Bioventus LLC
$78
Skeletal Dynamics Inc
$74
Endo USA, Inc.
$67
PolyNovo North America LLC
$51
Checkpoint Surgical, Inc
$21
Ferring Pharmaceuticals Inc.
$20
Smith & Nephew, Inc.
$15
Smith+Nephew, Inc.
$14
ACELL, INC.
$13
Z-Medica, LLC
$11
Top 3 companies account for 52.7% of all-time payments
Associated products mentioned in payments ›
AC Joint Ziptight · ACCOLADE · ALPHAVENT · ARC · ASNIS · Affixus · Alps Clavicle · Avance Nerve Graft · AxoGuard Nerve Connector · BILAYER WOUND MATRIX (BWM) · Checkpoint Stimulators · Comprehensive Reverse · Comprehensive Shoulder System · Custom Shoulder Components · DUROLANE · DVR Crosslock Plates/Screws/Pegs · Durolane · EUFLEXXA · EX NAILS · FREEDOM WRIST · GELSYN-3 · GRAFIX PL · HOFFMANN · ICONIX · INFINITY ADAPTIS · INTEGRA MESHED BILAYER WOUND MATRIX · Integra · Juggerknot · KYPHON Balloon Kyphoplasty · MAKO · MAX VPC Screw System · MEDIHONEY · MONOVISC · NOVOSORB BTM · QuikClot · Regeneten · SMART RELEASE · SURGIMEND · SX-ONE MICROKNIFE · Sports Medicine Product Portfolio · T2 · TENOGLIDE · TENOGLIDE TENDON PROTECTOR SHEET · ULTRAGUIDECTR · VA-LCP PLATES & SCREWS · VARIAX · WristMotion · XIAFLEX
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopedic surgery specialist in Tyler?
Compare orthopedic surgeons in the Tyler area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons in nearby ZIP areas
33
County median income
$71,923
Nearest hospital to ZIP centroid (approximate)
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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 19 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 x-ray of hand, minimum of 3 views?
Based on Medicare claims data, Dr. Butler performed 75 x-ray of hand, minimum of 3 views services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Butler receive payments from pharmaceutical companies?
Yes. Dr. Butler received a total of $16,829 from 24 companies across 138 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 orthopedic surgeons in Tyler?
Dr. Butler's average Medicare payment per service is $38. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →