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AUSTIN POTTER
NPI 1124477948
Emergency Medicine in Austin, TX

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
1400 NORTH ST # I-35, SUITE C2.230, AUSTIN, TX 78756(512) 324-8221 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2020, Aug 23, 2018, Jun 13, 2016 (3 updates tracked since 2016).

About Austin Potter NPPES

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

AUSTIN POTTER (NPI 1124477948) is an individual emergency medicine provider in Austin, Texas, licensed in Texas (R7856) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and is a graduate of University Of Texas Medical School At Houston (2016).

NPPES Registry Identity

NPI1124477948
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAUSTIN POTTER
Location Address1400 NORTH ST # I-35, SUITE C2.230Austin, TX 78756
Mailing Address1400 North St # I-35, Suite C2.230Austin, TX 78756-2620 · (512) 324-8221
Phone(512) 324-8221
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateSeptember 26, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2020
✔ NPI 1124477948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · R7856
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 NORTH ST # I-35, Austin, TX 78756
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company 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

Austin Potter 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 ID1052669835
PECOS Enrollment IDI20180810000808
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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
352 services337 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
282 services276 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
226 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
127 services123 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 5

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

LOUIS APRILE M.D
Emergency Medicine
1400 NORTH ST # I-35, C2.230
AUSTIN, TX 78756
Travis County (512) 324-8221
JACOB FALCON M.D.
Emergency Medicine
1400 NORTH ST # I-35, C3.314
AUSTIN, TX 78756
Travis County (512) 324-7000
DR. NAM HOANG NGUYEN MD
Physical Medicine & Rehabilitation
1400 NORTH ST # I-35
AUSTIN, TX 78756
Travis County (512) 324-8235
JULIE KESTNER ANP, GNP
Nurse Practitioner (Adult Health)
1400 NORTH ST # I-35, SUITE 310
AUSTIN, TX 78756
Travis County (512) 324-7000
GREGORY PATTERSON
Emergency Medicine
1400 NORTH ST # I-35, SUITE 2.230
AUSTIN, TX 78756
Travis County (512) 324-8221

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 Austin Potter's NPI number?

The NPI number for Austin Potter is 1124477948. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Austin Potter located?

Austin Potter practices at 1400 North St # I-35 Suite C2.230, Austin, TX 78756. The listed phone number is (512) 324-8221.

What is Austin Potter's specialty?

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

Is Austin Potter enrolled in Medicare?

Yes. Austin 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 Austin Potter accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Austin 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 Austin Potter affiliated with any hospitals?

According to CMS data, Austin Potter is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Austin Potter was last updated on September 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.