THENA GIDGET POTEAT M.D.
NPI 1114964566
Psychiatry & Neurology - Psychiatry in Maryville, IL

Q: What is Thena Poteat's NPI number?

The NPI number for Thena Poteat is 1114964566. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Thena Poteat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Thena Poteat was last updated on March 19, 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 June 01, 2006PECOS Enrolled

100/100

CMS Quality Rating

6805 STATE ROUTE 162 STE 201, MARYVILLE, IL 62062(618) 288-5189 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Thena Gidget Poteat M.d. NPPES

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

THENA GIDGET POTEAT M.D. (NPI 1114964566) is an individual psychiatry provider in Maryville, Illinois, licensed in Illinois (03611132) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114964566

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameTHENA GIDGET POTEATCredential: M.D.

Location Address6805 STATE ROUTE 162 STE 201Maryville, IL 62062-8530

Mailing Address6805 Il 162, Suite 201Maryville, IL 62062-4181 · (618) 288-5189

Phone(618) 288-5189

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1114964566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 03611132

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

6805 STATE ROUTE 162 STE 201, Maryville, IL 62062

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Other Identifiers 1

Medicaid036111132IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thena Gidget Poteat M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Thena Poteat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Associates LLC

Same address

Psychiatry

6805 STATE ROUTE 162 STE 201
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
18 clinicians in this Medicare group

NPI 1962427856 (618) 288-5019

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services45 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

64 services28 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

35 services24 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.

19 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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

$173.35 typical visit price

range $56.28 – $173.35

Typical copayment $43.33 (range $14.07 – $43.33)

Most-billed visit code 99205

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

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.

100/100

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

Scored as part of a group practice

Quality

87.46

Promoting Interoperability

100

Improvement Activities

Cost

98.59

Other Providers at the Same Location NPPES 10

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

EMILY HINDERLITER

Counselor