JON WARREN POTTER D.O.
NPI 1093785180
Internal Medicine - Gastroenterology in Eau Claire, WI

Q: What is Jon Potter's NPI number?

The NPI number for Jon Potter is 1093785180. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Jon Potter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jon Potter was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

4109 OAKWOOD HILLS PARKWAY, EAU CLAIRE, WI 54701(715) 552-7303(715) 552-7355 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2021, Feb 4, 2020, Dec 30, 2015 (3 updates tracked since 2015).

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About Jon Warren Potter D.o. NPPES

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

JON WARREN POTTER D.O. (NPI 1093785180) is an individual gastroenterology provider in Eau Claire, Wisconsin, licensed in Wisconsin (44787-021) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1093785180

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJON WARREN POTTERCredential: D.O.

Location Address4109 OAKWOOD HILLS PARKWAYEau Claire, WI 54701-8888

Mailing Address4109 Oakwood Hills ParkwayEau Claire, WI 54701-8888 · (715) 552-7303 · Fax (715) 552-7355

Phone(715) 552-7303

Fax(715) 552-7355

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1998

Enumeration DateJanuary 23, 2006

Last NPPES UpdateMay 24, 20243 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1093785180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WI · 44787-021✔ Licensed in MI · JP016277✔ Licensed in IA · 04791✔ Licensed in IL · 036-132113

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4109 OAKWOOD HILLS PARKWAY, Eau Claire, WI 54701

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Secondary Practice Location 1

Location 1915 13th Ave NClinton, IA 52732-5067 · Phone (563) 243-2511 · Fax (563) 243-0817

Other Identifiers 4

Medicaid4693501MI

Medicaid43546500WI

Other1055201131MI · Blue Cross Blue Shield

OtherP00165661MI · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Jon Warren 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 ID9931167269

PECOS Enrollment IDI20080124000034

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

154 services151 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

80 services80 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

68 services65 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

46 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services21 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

22 services22 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

21 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI

OwnershipPhysician

CMS Certification Number520196

Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520210

Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County

Emergency services Birthing friendly

Indianhead Medical Ctr

Critical Access Hospitals · Shell Lake, WI

OwnershipProprietary

CMS Certification Number521342

Location113 4th AveShell Lake, WI 54871 · Washburn County

Emergency services

Cumberland Memorial Hospital

Critical Access Hospitals · Cumberland, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521353

Location1705 16th AveCumberland, WI 54829 · Barron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.89

Improvement Activities

Cost

41.84

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Other Providers at the Same Location NPPES 3

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

DR. PAUL JAMES RUH MD

Internal Medicine (Gastroenterology)

4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI 54701

Eau Claire County (715) 552-7303

MRS. TABETHA CHRISTY PATROW MNS, NP-C

Nurse Practitioner

4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI 54701

Eau Claire County (715) 552-7303

EAU CLAIRE GI ASSOCIATES SC

Specialist

4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI 54701

Eau Claire County (715) 552-7303

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 Jon Potter's NPI number?

The NPI number for Jon Potter is 1093785180. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jon Potter located?

Jon Potter practices at 4109 Oakwood Hills Parkway, Eau Claire, WI 54701. The listed phone number is (715) 552-7303.

What is Jon Potter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jon Potter enrolled in Medicare?

Yes. Jon 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 Jon Potter accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Jon 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 Jon Potter affiliated with any hospitals?

According to CMS data, Jon Potter is affiliated with Marshfield Medical Center, Oakleaf Surgical Hospital, Marshfield Medical Center - Eau Claire, Indianhead Medical Ctr and Cumberland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jon Potter was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.