Provider Profile
Ryen L. Butler, ACNPC-AG is a healthcare provider in Fredericksburg, VA specializing in hospice & palliative medicine. Medicare claims data shows Ryen provided 176 services to 145 patients. The services billed most often include advance care planning, first 30 minutes, advance care planning, first 30 minutes, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.
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.
1201 SAM PERRY BLVD STE 215
Fredericksburg, VA 22401
176 services · 145 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Advance care planning, first 30 minutes | Office visit | 99497 |
45 | More often than most peers in Hospice & Palliative Medicine |
| Advance care planning, first 30 minutes | Office visit | 99497 |
42 | More often than most peers in Hospice & Palliative Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
21 | Less often than most peers in Hospice & Palliative Medicine |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
20 | As often as other peers in Hospice & Palliative Medicine |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
19 | Less often than most peers in Hospice & Palliative Medicine |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
15 | Less often than most peers in Hospice & Palliative Medicine |
| Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | Office visit | 99306 |
14 | Less often than most peers in Hospice & Palliative Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Ryen L. Butler is a hospice & palliative medicine in Fredericksburg, VA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ryen L. Butler is listed at 1201 Sam Perry Blvd Ste 215, Fredericksburg, VA 22401. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (540) 741-3111. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Ryen L. Butler's National Provider Identifier is 1346013075. 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
Ryen L. Butler attended Other, graduating in 2023. This comes from the CMS National Downloadable File.
CMS public data
Ryen L. Butler has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Ryen L. Butler 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 Ryen L. Butler. 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.