Tikva Darvish Butler, RN, APN
Opted out of Medicare from June 2025 to June 2027. Nurse Practitioner, Obstetrics & Gynecology (RN, APN) in Las Vegas, Nevada, licensed in NV, with an NPI issued in October 2006. Part D covered 106 prescriptions written in 2024, 91% of them generic. Gilead Sciences, Inc. was the largest of 2 companies reporting payments in 2025, $251.86 in all, mostly food and beverage.
Overview
| NPI | 1366532434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, APN |
| Sole proprietor | No |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | May 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology Primary | 363LX0001X | 00106 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No 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-out | Opted out Jun 4, 2025 – Jun 4, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 106 · 180 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $3,155 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
- 2025$251.86 · 2 payments from 2 companies
- 2024$77.33 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $130.05 | 1 |
| Astrazeneca Pharmaceuticals LP | $121.81 | 1 |
What the 2025 payments were for
- Food and Beverage$251.86 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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