MICHAEL QUINN POTTER MD
NPI 1164664173
Orthopaedic Surgery - Hand Surgery in Charlottesville, VA

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
88.15/100
CMS Quality Rating
3263 PROFFIT RD, SUITE 202, CHARLOTTESVILLE, VA 22911(434) 654-5575(434) 654-5574 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Quinn Potter Md NPPES

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

MICHAEL QUINN POTTER MD (NPI 1164664173) is an individual hand surgery provider in Charlottesville, Virginia, licensed in Virginia (0101257603) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2009).

NPPES Registry Identity

NPI1164664173
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameMICHAEL QUINN POTTERCredential: MD
Location Address3263 PROFFIT RD, SUITE 202Charlottesville, VA 22911-5639
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-7752
Fax(434) 654-5574
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2009
Enumeration DateApril 6, 2009
Last NPPES UpdateNovember 30, 2016
NPI 1164664173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in VA · 0101257603
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
3263 PROFFIT RD, Charlottesville, VA 22911

Other Identifiers 2

Medicare PINVVH819AVA
Medicare PINP01636499VA

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

Michael Quinn Potter 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 ID8729210653
PECOS Enrollment IDI20200908001334
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 16

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
603 services115 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.
176 services176 patients
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.
119 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
97 services97 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
78 services67 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.
70 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

88.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
53%519 patients3/55-star benchmark: 100%
Breast Cancer Screening
46%340 patients2/55-star benchmark: 93%
Cervical Cancer Screening
44%349 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
0%36 patients
Closing the Referral Loop: Receipt of Specialist Report
16%226 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
55%762 patients3/55-star benchmark: 88%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
0%102 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
69%178 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
11%53 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%53 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%1,654 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
36%484 patients2/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
0%26 patients
HIV Screening
12%907 patients1/55-star benchmark: 60%
Immunizations for Adolescents
Patients HPV: 15% · 20 patients
Patients meningococcal: 15% · 20 patients
Patients Tdap: 35% · 20 patients
15%20 patients
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
23%207 patients1/55-star benchmark: 98%
Osteoporosis Management in Women Who Had a Fracture
5%43 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%1,285 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
24%1,156 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%1,336 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 36% · 1,010 patients
Patients screened: 37% · 1,010 patients
50%32 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 43% · 207 patients
39%207 patients
Provide Patients Electronic Access to Their Health Information
82%413 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
40%201 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%164 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 508 patients
Patients totalRate: 7% · 514 patients
7%514 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$42.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
3263 PROFFIT RD, SUITE 101
CHARLOTTESVILLE, VA 22911
Family Medicine
3263 PROFFIT RD, SUITE 201
CHARLOTTESVILLE, VA 22911
Physical Medicine & Rehabilitation
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Orthopaedic Surgery
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Physician Assistant
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Family Medicine
3263 PROFFIT RD, SUITE 201
CHARLOTTESVILLE, VA 22911
Family Medicine
3263 PROFFIT RD, SUTIE 201
CHARLOTTESVILLE, VA 22911
Family Medicine
3263 PROFFIT RD, SUITE 201
CHARLOTTESVILLE, VA 22911

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 Potter's NPI number?

The NPI number for Michael Potter is 1164664173. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Michael Potter located?

Michael Potter practices at 3263 Proffit Rd Suite 202, Charlottesville, VA 22911. The listed phone number is (434) 654-5575.

What is Michael Potter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michael Potter enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Potter was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.