DR. THEODORA ANNE POTRETZKE MD
NPI 1154551646
Radiology - Diagnostic Radiology in Rochester, MN

Q: What is Theodora Potretzke's NPI number?

The NPI number for Theodora Potretzke is 1154551646. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Q: What is Theodora Potretzke's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2020, Apr 11, 2019, Oct 2, 2015 (3 updates tracked since 2015).

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About Dr. Theodora Anne Potretzke Md NPPES

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

DR. THEODORA ANNE POTRETZKE MD (NPI 1154551646) is an individual diagnostic radiology provider in Rochester, Minnesota, licensed in Minnesota (59217) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1154551646

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. THEODORA ANNE POTRETZKECredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009

Enumeration DateJuly 20, 2009

Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1154551646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MN · 59217✔ Licensed in MO · 2014011302

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 1510 S Kingshighway BlvdSaint Louis, MO 63110-1016 · Phone (314) 362-7200 · Fax (314) 747-4189

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodora Anne Potretzke Md 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 ID4183857139

PECOS Enrollment IDI20150916001181

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 Reassignments

Medicare enrollment records show Theodora Potretzke reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic

Same address

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Mayo Clinic Health System-Lake City

31 mi

Multi-Specialty

500 W GRANT ST
Lake City, MN 55041

Reassigned Medicare billing, Minnesota enrollment
819 clinicians in this Medicare group

NPI 1164463659 (651) 345-3321

Mayo Clinic Health System-Southeast Minnesota Region

35 mi

Multi-Specialty

701 HEWITT BLVD
Red Wing, MN 55066

Reassigned Medicare billing, Minnesota enrollment
1,571 clinicians in this Medicare group

NPI 1114453883 (651) 267-5000

Mayo Clinic Health System-Southwest Minnesota Region

52 mi

Multi-Specialty

501 STATE ST N
Waseca, MN 56093

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1518494251 (507) 835-1210

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

63 mi

Multi-Specialty

800 WEST AVE S
La Crosse, WI 54601

Reassigned Medicare billing, Minnesota enrollment
330 clinicians in this Medicare group

NPI 1629056049 (608) 392-3861

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

66 mi

Multi-Specialty

2321 STOUT RD
Menomonie, WI 54751

Reassigned Medicare billing, Minnesota enrollment
251 clinicians in this Medicare group

NPI 1235666967 (715) 235-5531

Mayo Clinic Health System-Fairmont

103 mi

Multi-Specialty

800 MEDICAL CENTER DR
Fairmont, MN 56031

Reassigned Medicare billing, Minnesota enrollment
806 clinicians in this Medicare group

NPI 1366410862 (507) 238-8100

Mayo Clinic Health System-St James

107 mi

Multi-Specialty

1101 MOULTON AND PARSONS DR
Saint James, MN 56081

Reassigned Medicare billing, Minnesota enrollment
592 clinicians in this Medicare group

NPI 1023177730 (507) 375-3261

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 12

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

57,166 services400 patients

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

32,000 services158 patients

Injection, gadobutrol, 0.1 ml A9585

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

7,850 services77 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

231 services229 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

205 services203 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

181 services180 patients

Injection, gadoxetate disodium, 1 ml A9581

Gadoxetate disodium is a contrast agent used during MRI scans to help visualize the liver. It's injected into your vein before the scan, enhancing the images and aiding in accurate diagnosis. It's safe and side effects are rare.

140 services13 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

94 services94 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

62 services62 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

41 services41 patients

Mri scan of pelvis without contrast 72195

An MRI scan of the pelvis without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of the lower part of your body. This helps doctors to identify any abnormalities or issues in that area.

31 services31 patients

Mri and low frequency vibrations for measuring tissue stiffness 76391

An MRI (Magnetic Resonance Imaging) with low frequency vibrations helps measure tissue stiffness. This non-invasive procedure uses magnetic fields and radio waves to create images of your body. The low frequency vibrations assess how stiff or soft your tissues are, aiding in diagnosis.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

EMILY LEASURE MD

Internal Medicine