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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: August 16, 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
Phone(800) 813-2000
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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.

TONY J ZHAO RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6990
ALLEN LEE PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (866) 279-4581
KATELYN HAYWORTH PHARMD
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6768
CHRISTINE ANNE VAN WIE FNP
Nurse Practitioner (Family)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MS. JESSIE ROBERTA HANN MS,RD,LD,CD,CDCES
Dietitian, Registered
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 250-4326
DR. JENNIFER S LIN MD
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
KAVYA TIMMIREDDY MD
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (800) 813-2000
DR. RICHARD R JENKINS MD
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Potter's NPI number?

The NPI number for Samantha Potter is 1043572746. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Where is Samantha Potter located?

Samantha Potter practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (800) 813-2000.

What is Samantha Potter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Potter enrolled in Medicare?

Yes. Samantha Potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Potter accept?

Health plans from Kaiser Permanente list Samantha Potter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Potter affiliated with any hospitals?

According to CMS data, Samantha Potter is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Potter was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.