DR. SAMANTHA MACLEOD POTTER D.O.
NPI 1043572746
Family Medicine in Portland, OR

Active since June 09, 2012PECOS EnrolledAccepts Medicare Assignment
1700 NE 102ND AVE, PORTLAND, OR 97220(800) 813-2000 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2025, Nov 17, 2019 (2 updates tracked since 2019).

About Dr. Samantha Macleod Potter D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA MACLEOD POTTER D.O. (NPI 1043572746) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (DO181868) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1043572746
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMANTHA MACLEOD POTTERCredential: D.O.
Location Address1700 NE 102ND AVEPortland, OR 97220-3804
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2014
Enumeration DateJune 9, 2012
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1043572746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · DO181868
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1700 NE 102ND AVE, Portland, OR 97220

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Macleod Potter D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193944106
PECOS Enrollment IDI20171011002895
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine (Geriatric Medicine)
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Pediatrics
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE, KAISER PERMANENTE GATEWAY MEDICAL OFFICE
PORTLAND, OR 97220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043572746, enumerated as an "individual" on June 09, 2012.

The provider is located at 1700 NE 102ND AVE PORTLAND, OR 97220 and the phone number is (800) 813-2000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.

Samantha Potter is affiliated with: KAISER SUNNYSIDE MEDICAL CENTER.