Medicare Enrolled
Dr. Barry Butler, MD
Internal Medicine · Fort Myers, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Barry Butler is an internal medicine specialist in Fort Myers, FL, with 21 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 16,113 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 $588 from 14 pharmaceutical and/or device companies across 29 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.
✓ 21 years of NPI registration
▲ Top 2% volume in FL
$588 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 100125 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗16,113
Medicare services
Top 2% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$28
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 |
|---|---|---|---|
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
5,116 | $18 | $55 |
| Manual therapy (hands-on treatment), per 15 min | 2,438 | $16 | $49 |
| Osteopathic manipulative treatment, 5-6 body regions A hands-on therapy where a doctor uses their hands to diagnose, treat, and prevent illness or injury by moving muscles and joints. This specific code covers treatment involving five to six different areas of the body. |
1,369 | $44 | $106 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
985 | $7 | $25 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
927 | $26 | $45 |
| Joint lubricant injection (Synvisc) | 736 | $7 | $18 |
| Hip strapping Application of supportive straps or bandages around the hip area to provide stability or immobilization. |
613 | $27 | $40 |
| Mechanical traction application Application of mechanical traction to the body. This procedure involves the use of a mechanical device to apply a pulling force. |
598 | $9 | $27 |
| 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. |
384 | $90 | $150 |
| Osteopathic manipulative treatment, 7-8 body regions A hands-on therapy where a doctor uses their hands to diagnose, treat, and prevent illness or injury by moving muscles and joints. This specific code covers treatment involving 7 to 8 different areas of the body. |
361 | $57 | $128 |
| 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. |
308 | $65 | $110 |
| Shoulder strapping Application of supportive strapping to the shoulder area. This procedure involves securing the shoulder with straps for support or stabilization. |
243 | $23 | $38 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
188 | $139 | $222 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
158 | $39 | $63 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
131 | $1 | $35 |
| Knee strapping Application of supportive strapping to the knee joint for stabilization or injury management. |
128 | $21 | $39 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
123 | $76 | $110 |
| 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. |
119 | $110 | $205 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
111 | $44 | $154 |
| 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. |
106 | $32 | $64 |
| Evaluation for physical therapy, typically 20 minutes | 103 | $79 | $115 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
93 | $47 | $101 |
| 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. |
89 | $134 | $200 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
73 | $34 | $180 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
69 | $55 | $90 |
| Ankle or foot strapping Application of supportive bandages or tape to the ankle or foot to provide stability and protection. |
64 | $17 | $40 |
| Osteopathic manipulative treatment, 3-4 body regions A hands-on therapy where a doctor uses manual techniques to move muscles and joints in three to four areas of the body. |
61 | $33 | $81 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
61 | $91 | $195 |
| Re-evaluation for physical therapy, typically 20 minutes | 56 | $55 | $79 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
54 | $40 | $72 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
33 | $27 | $59 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
31 | $31 | $64 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
30 | $131 | $143 |
| Ultrasound therapy, each 15 minutes Application of ultrasound waves to tissue for therapeutic purposes. The procedure is billed in 15-minute increments. |
29 | $7 | $25 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
27 | $26 | $56 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
25 | $41 | $87 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
25 | $28 | $53 |
| Home visit, new patient, high complexity A home visit for a new patient involving high-level medical decision making, lasting at least 75 minutes. |
22 | $164 | $255 |
| 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. |
14 | $34 | $75 |
| 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. |
12 | $36 | $68 |
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 ↗$588
Total received (2018-2024)
Avg $84/year across 7 years
Top 48% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
29
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
$80
2023
$141
2022
$16
2021
$53
2020
$106
2019
$46
2018
$145
Payments by company (2024)
Lilly USA, LLC
$32
Insulet Corporation
$26
Novo Nordisk Inc
$22
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$125
Novartis Pharmaceuticals Corporation
$121
Lilly USA, LLC
$121
Otsuka America Pharmaceutical, Inc.
$62
Insulet Corporation
$26
Grifols USA, LLC
$20
Bioventus LLC
$17
Avanir Pharmaceuticals, Inc.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Merck Sharp & Dohme Corporation
$15
Teva Pharmaceuticals USA, Inc.
$13
Biogen, Inc.
$12
Takeda Pharmaceuticals U.S.A., Inc.
$11
AstraZeneca Pharmaceuticals LP
$11
Top 3 companies account for 62.4% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AJOVY · Durolane · EMGALITY · ENTRESTO · MOUNJARO · NUEDEXTA · Omnipod · Ozempic · Prolastin-C Liquid · REXULTI · TRINTELLIX · TRULICITY · Tresiba · VAQTA
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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
470
County median income
$73,099
Nearest hospital to ZIP centroid (approximate)
GULF COAST MEDICAL CENTER LEE HEALTH
3.4 mi
3.4 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 mixed practice specialist, with above-average Medicare volume (top 2% in FL), with 21 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 physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Butler performed 5,116 physical therapy exercise, per 15 min 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 $588 from 14 companies across 29 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 internal medicine physicians in Fort Myers?
Dr. Butler's average Medicare payment per service is $28. 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 →
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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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