1. Home
  2. Directory
  3. Florida
  4. St Pete Beach
  5. Emergency Medicine
  6. NPI Profile

DR. KRISTINA R POTTER-MARTINO D.O.
NPI 1063666352
Emergency Medicine in St Pete Beach, FL

Active since November 13, 2008PECOS EnrolledAccepts Medicare Assignment
3401 E DEBAZAN AVE, ST PETE BEACH, FL 33706(813) 244-1179(586) 349-6022 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2022, Apr 28, 2021, Sep 2, 2016 (3 updates tracked since 2016).

About Dr. Kristina R Potter-martino D.o. NPPES

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

DR. KRISTINA R POTTER-MARTINO D.O. (NPI 1063666352) is an individual emergency medicine provider in St Pete Beach, Florida, licensed in California (16150) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2008).

NPPES Registry Identity

NPI1063666352
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KRISTINA R POTTER-MARTINOCredential: D.O.
Location Address3401 E DEBAZAN AVESt Pete Beach, FL 33706-4065
Mailing Address4601 Dale RdModesto, CA 95356-9718 · (209) 735-5000
Phone(813) 244-1179
Fax(586) 349-6022
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2008
Enumeration DateNovember 13, 2008
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1063666352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · 16150✔ Licensed in OH · 34.010629✔ Licensed in FL · OS12423✔ Licensed in MI · 5101018039
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3401 E DEBAZAN AVE, St Pete Beach, FL 33706
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kristina R Martino D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristina R Potter-martino 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 ID648443945
PECOS Enrollment IDI20210504000966
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Potter-martino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,334 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33706 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Kristina Potter-martino's NPI number?

The NPI number for Kristina Potter-martino is 1063666352. It was assigned to this individual provider in the NPPES registry on November 13, 2008. The provider is also known as Dr. Kristina R Martino D.O..

Where is Kristina Potter-martino located?

Kristina Potter-martino practices at 3401 E Debazan Ave, St Pete Beach, FL 33706. The listed phone number is (813) 244-1179.

What is Kristina Potter-martino's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristina Potter-martino enrolled in Medicare?

Yes. Kristina Potter-martino 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.

Which organization bills Medicare for Kristina Potter-martino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Potter-martino reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Potter-martino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Potter-martino was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.