DOMINIQUE BUTAWAN-ALI, MD
Obstetrics & Gynecology Physician · MEMPHIS, TN
Individual Active NPI 1417121013
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 29 | 65 | $6,215 | $2,872 | $2,419 |
| 2023 | 42 | 97 | $13,685 | $5,995 | $5,031 |
| 2022 | 16 | 33 | $3,108 | $1,319 | $1,223 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 20 | $3 | $3 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 16 | $35 | $35 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 | $83 | $61 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ✓ | 54889 | TN |
| Obstetrics & Gynecology Physician | 207V00000X | E-8519 | AR | |
| Obstetrics & Gynecology Physician | 207V00000X | 201200884 | NC |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Obstetrics & Gynecology Physician providers in Tennessee
- NPI 1962992503
- NPI 1104269745
- NPI 1164445276
- NPI 1326579749
- NPI 1619237880
- NPI 1497194864
- NPI 1891315339
- NPI 1376777466
See all Obstetrics & Gynecology Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.