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MICHAEL SCOTT POTTIEGER PA-C
NPI 1154090603
Physician Assistant in Wynnewood, PA

Active since September 08, 2021PECOS Enrolled
100 E LANCASTER AVENUE, MEDICAL SCIENCE BLDG SUITE 275, WYNNEWOOD, PA 19096(610) 642-1908(610) 642-6806 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Scott Pottieger Pa-c NPPES

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

MICHAEL SCOTT POTTIEGER PA-C (NPI 1154090603) is an individual physician assistant in Wynnewood, Pennsylvania, licensed in Pennsylvania (MA062762) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154090603
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL SCOTT POTTIEGERCredential: PA-C
Location Address100 E LANCASTER AVENUE, MEDICAL SCIENCE BLDG SUITE 275Wynnewood, PA 19096
Mailing Address1872 Brandywine RdWyomissing, PA 19610-2610 · (610) 406-8568
Phone(610) 642-1908
Fax(610) 642-6806
Sole ProprietorYes
Enumeration DateSeptember 8, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1154090603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA062762
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.
100 E LANCASTER AVENUE, Wynnewood, PA 19096
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Scott Pottieger Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 14

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

MICHELLE SAYAD
Internal Medicine (Cardiovascular Disease)
100 E LANCASTER AVENUE, HEART PAVILION, MEZZANINE LEVEL
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1000
CAITLIN S FARABAUGH
Obstetrics & Gynecology (Gynecologic Oncology)
100 E LANCASTER AVENUE, SUITE 661 MOB EAST
WYNNEWOOD, PA 19096
Montgomery County (610) 649-8085
OLIVIA DELORENZO
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVENUE, ANNENBERG G-10
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000
JAYLN MAULFAIR PA-C
Physician Assistant
100 E LANCASTER AVENUE, MEDICAL SCIENCE BUILDING, SUITE 275
WYNNEWOOD, PA 19096
Montgomery County (610) 642-1908
MS. JULIE ANN PITTS CRNP
Nurse Practitioner
100 E LANCASTER AVENUE, HEART PAVILION, MEZZANINE LEVEL
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1000
SHRUTI GAURANG PATEL PA-C
Physician Assistant (Medical)
100 E LANCASTER AVENUE, SUITE 256 MOB EAST
WYNNEWOOD, PA 19096
Montgomery County (610) 649-6800
CORINNE DESANTO PA-C
Physician Assistant
100 E LANCASTER AVENUE, SUITE 275 MED SCI BLDG
WYNNEWOOD, PA 19096
Montgomery County (484) 476-8390
ERIK M KELLY MD
Internal Medicine (Cardiovascular Disease)
100 E LANCASTER AVENUE, HEART PAVILION MEZZANINE LEVEL
WYNNEWOOD, PA 19096
Montgomery County (484) 476-1000

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 Michael Pottieger's NPI number?

The NPI number for Michael Pottieger is 1154090603. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Michael Pottieger located?

Michael Pottieger practices at 100 E Lancaster Avenue Medical Science Bldg Suite 275, Wynnewood, PA 19096. The listed phone number is (610) 642-1908.

What is Michael Pottieger's specialty?

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

Is Michael Pottieger enrolled in Medicare?

Yes. Michael Pottieger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Pottieger was last updated on September 8, 2021. 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.