MONIKA RAE POTTER PA
NPI 1174094999
Physician Assistant in Lexington, KY

Q: What is Monika Potter's NPI number?

The NPI number for Monika Potter is 1174094999. It was assigned to this individual provider in the NPPES registry on December 6, 2018. The provider is also known as Monika Mccowan Pa-C.

Q: What is Monika Potter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Monika Potter was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 06, 2018PECOS EnrolledAccepts Medicare Assignment

740 S LIMESTONE STE D201, LEXINGTON, KY 40536(859) 323-0079(859) 323-8173 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2024, Oct 22, 2020, Jun 5, 2019 and 2 more (5 updates tracked since 2018).

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About Monika Rae Potter Pa NPPES

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

MONIKA RAE POTTER PA (NPI 1174094999) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2414) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174094999

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMONIKA RAE POTTERCredential: PA

Location Address740 S LIMESTONE STE D201Lexington, KY 40536-9792

Mailing AddressPo Box 936London, KY 40743-0936 · Fax (606) 330-7825

Phone(859) 323-0079

Fax(859) 323-8173

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018

Enumeration DateDecember 6, 2018

Last NPPES UpdateSeptember 4, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1174094999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · PA2414

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2414 (KY)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2414 (KY)

740 S LIMESTONE STE D201, Lexington, KY 40536

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Other Names 1

Former Name (1)Monika Mccowan Pa-c

Secondary Practice Locations 3

Location 1227 Falcon Dr Ste 104MT Sterling, KY 40353-9792 · Phone (859) 497-5459 · Fax (859) 497-5470

Location 21401 Harrodsburg Rd Ste A100Lexington, KY 40504-3746 · Phone (859) 258-4271 · Fax (859) 258-4296

Location 3160 N Eagle Creek Dr Ste 202Lexington, KY 40509-2125 · Phone (859) 263-0022 · Fax (859) 263-4666

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

Monika Rae Potter Pa 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 ID5890031884

PECOS Enrollment IDI20190111002265

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 3

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.

38 services34 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.

33 services30 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.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 16

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

CHRISTINA DELACRUZ LEYSON MD

Internal Medicine (Gastroenterology)