Gary N. Butka, M.D.
NPI 1871581272ActiveIndividual· Internal Medicine· Brownwood, TX
Internal Medicine (M.D.) with Adult Medical Solutions PA, practicing in Brownwood, Texas. Their prescriptions cost Medicare Part D more than their services did: $699,970 for 6,190 claims, against $109,014 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 6 companies reporting payments in 2025, $181.03 in all, mostly food and beverage. Lists Hendrick Medical Center Brownwood as a hospital affiliation.
Overview
| NPI | 1871581272 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 10, 2005 |
| Last updated in NPPES | Jan 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | G6479 | TX |
| Internal Medicine, Infectious Disease | 207RI0200X | G6479 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 280 |
|---|---|
| Services billed | 3,332 across 67 procedure codes |
| Paid by Medicare | $109,014 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,190 · 11,362 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $699,970 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Infectious Disease |
Medical group
- Adult Medical Solutions PABrownwood, TX · 3 clinicians
Hospital affiliation
- Hendrick Medical Center BrownwoodBrownwood, TX
Other facilities
- Cms-Kinder Hearts Home HealthHome health agency · Early, TX
- Solaris Hospice IncHospice · Decatur, TX
Industry payments (Open Payments)
- 2025$181.03 · 6 payments from 6 companies
- 2024$1,090 · 24 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $84.19 | 1 |
| Pfizer Inc. | $22.38 | 1 |
| Amgen Inc. | $21.77 | 1 |
| Lilly USA, LLC | $21.00 | 1 |
| Novo Nordisk Inc | $16.87 | 1 |
What the 2025 payments were for
- Food and Beverage$181.03 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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