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Benjamin Butler, MD

NPI 1245624279ActiveIndividual· Internal Medicine, Pulmonary Disease· Athens, GA

Opted out of Medicare from July 2026 to July 2028. Internal Medicine, Pulmonary Disease (MD) in Athens, Georgia, trained at Medical College of Georgia School of Medicine (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $371,092 for 1,112 claims, against $125,518 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 14 companies reporting payments in 2025, $941.71 in all, mostly food and beverage.

Overview

NPI1245624279
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMar 27, 2015
Last updated in NPPESAug 8, 2022
Certified by providerAug 8, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Pulmonary Disease Primary207RP1001X92980GA
Internal Medicine207R00000XMD.36493AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2026 – Jul 1, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients451
Services billed1,821 across 59 procedure codes
Paid by Medicare$125,518

Part D prescriptions in 2024

Prescriptions (claims)1,112 · 1,398 30-day fills
Patients215
Total drug cost$371,092
Generic share35% of claims

Medicare sources and data years

Education and affiliations

Medical schoolMedical College of Georgia School of Medicine
Graduation year2015
Medicare specialtyPulmonary Disease
Secondary specialtiesCritical Care (Intensivists)

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$941.71 · 45 payments from 14 companies
  • 2024$557.55 · 26 payments from 16 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$941.71 · 45 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pulmonologists in Athens

All 18 pulmonologists in Athens · All pulmonologists in Georgia