Physician Profile
Nicholas A. Butowski, MD practices neurological surgery in San Francisco, CA. Nicholas is a 1999 graduate of University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb). Medicare claims data shows Nicholas provided 819 services to 306 patients. The services billed most often include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or, established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
400 PARNASSUS AVE
San Francisco, CA 94143
Within Neurological Surgery generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Brain & spine conditions
Brain conditions
Brain disorders
Brain injury
Brain tumors
Movement disorders
Nerve disorders
Pain
Pediatric conditions
Spine & back
Spine conditions
Spine deformity
Trauma & injury
Most searched procedures
Brain & spine surgery
Brain procedures
Brain surgery
Cranial reconstruction
Diagnostic & therapeutic
Endovascular procedures
Functional neurosurgery
Monitoring & trauma
Nerve procedures
Nerve surgery
Pain procedures
Pediatric neurosurgery
Radiation & radiosurgery
Radiation surgery
Skull base surgery
Spasticity treatment
Spine procedures
Spine surgery
Vascular neurosurgery
819 services · 306 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | Billing code | G2212 |
230 | More than most peers in Neurological Surgery |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
197 | More than most peers in Neurological Surgery |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
191 | More than most peers in Neurological Surgery |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by t | Billing code | G0316 |
94 | Too few peers to compare |
| Advance care planning, first 30 minutes | Office visit | 99497 |
65 | Too few peers to compare |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
23 | As often as other peers in Neurological Surgery |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
19 | Less often than most peers in Neurological Surgery |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Butowski is a neurosurgeon in San Francisco, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Neurological Surgery”.
NPI registry
Dr. Butowski is listed at 400 Parnassus Ave, San Francisco, CA 94143. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (415) 353-2996. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Butowski's National Provider Identifier is 1184681009. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Butowski attended University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb), graduating in 1999. This comes from the CMS National Downloadable File.
CMS public data
Dr. Butowski has 27 years experience. Calculated from a graduation year of 1999, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Butowski the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Butowski. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.