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

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: July 26, 2026.

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

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 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.

Where is Theodora Potretzke located?

Theodora Potretzke practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Theodora Potretzke's specialty?

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

Is Theodora Potretzke enrolled in Medicare?

Yes. Theodora Potretzke 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.

Is Theodora Potretzke affiliated with any hospitals?

According to CMS data, Theodora Potretzke is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Theodora Potretzke was last updated on August 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.