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MR. ROBERT T. POTTS PA-C
NPI 1134294036
Physician Assistant in Moundsville, WV

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1307 LAFAYETTE AVE, MOUNDSVILLE, WV 26041(304) 845-2500(304) 845-2624 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Robert T. Potts Pa-c NPPES

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

MR. ROBERT T. POTTS PA-C (NPI 1134294036) is an individual physician assistant in Moundsville, West Virginia, licensed in Ohio (50001843) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1134294036
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT T. POTTSCredential: PA-C
Location Address1307 LAFAYETTE AVEMoundsville, WV 26041-2316
Mailing Address1307 Lafayette AveMoundsville, WV 26041-2316 · (304) 845-2500 · Fax (304) 845-2624
Phone(304) 845-2500
Fax(304) 845-2624
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 24, 2006
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1134294036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50001843✔ Licensed in WV · 00948
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1307 LAFAYETTE AVE, Moundsville, WV 26041
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Other Identifiers 3

Other000000353890OH · Anthem Bcbs
Other231646Advantra Carelink
OtherP00399683Rr Medcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Robert T. Potts Pa-c 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 ID2365404878
PECOS Enrollment IDI20050708000186
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 6

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.
138 services112 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.
118 services106 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.
83 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 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.
39 services27 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26041 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

WOOD HEALTH CARE CLINIC LAB
Clinical Medical Laboratory
1307 LAFAYETTE AVE
MOUNDSVILLE, WV 26041
Marshall County (304) 845-2893
DUANE A. BARTSCH PA-C
Physician Assistant
1307 LAFAYETTE AVE
MOUNDSVILLE, WV 26041
Marshall County (304) 845-2500
RALPH E WOOD DO
Family Medicine
1307 LAFAYETTE AVE
MOUNDSVILLE, WV 26041
Marshall County (304) 845-2500
MRS. KELLY NICOLE SMITH PA-C
Physician Assistant (Medical)
1307 LAFAYETTE AVE
MOUNDSVILLE, WV 26041
Marshall County (304) 845-2500

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 Robert Potts's NPI number?

The NPI number for Robert Potts is 1134294036. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Robert Potts located?

Robert Potts practices at 1307 Lafayette Ave, Moundsville, WV 26041. The listed phone number is (304) 845-2500.

What is Robert Potts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Potts enrolled in Medicare?

Yes. Robert Potts 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 Robert Potts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Robert Potts 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 Robert Potts affiliated with any hospitals?

According to CMS data, Robert Potts is affiliated with Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Weirton Medical Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Robert Potts was last updated on September 19, 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.