JEANNETTE M POTTS MD
NPI 1104999838
Urology in Cleveland, OH

Active since November 17, 2006Opted out of Medicare · through Jun 2, 2028
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-5661 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeannette M Potts Md NPPES

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

JEANNETTE M POTTS MD (NPI 1104999838) is an individual urology provider in Cleveland, Ohio, licensed in Ohio (35-066717) and active in the NPI registry since November 2006. She has opted out of Medicare through June 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104999838
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameJEANNETTE M POTTSCredential: MD
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address3605 Warrensville Center Rd, 1st FloorShaker Heights, OH 44122-5203 · (216) 286-6295 · Fax (216) 286-6341
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 1, 2010
NPI 1104999838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OH · 35-066717
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35066717P (OH)
11100 EUCLID AVE, Cleveland, OH 44106

Other Names 1

Former Name (1)Jeannette M Kolis

Other Identifiers 5

Medicaid0128632OH
OtherP00781713OH · Medicare Railroad
Medicare UPINF91377OH
Medicare PINPO7354621OH
Medicare PINPO0768492OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jeannette M Potts Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 2, 2014 through June 2, 2028.

Opt-Out Effective DateJune 2, 2014
Opt-Out In Effect ThroughJune 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106

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 Jeannette Potts's NPI number?

The NPI number for Jeannette Potts is 1104999838. It was assigned to this individual provider in the NPPES registry on November 17, 2006. The provider is also known as Jeannette M Kolis.

Where is Jeannette Potts located?

Jeannette Potts practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-5661.

What is Jeannette Potts's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jeannette Potts enrolled in Medicare?

No. Jeannette Potts has opted out of Medicare through June 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeannette Potts was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.