SHELBY MARIE POTKIN MD
NPI 1184184277
Ophthalmology in Bemidji, MN

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
1611 ANNE ST NW, BEMIDJI, MN 56601(218) 333-2020 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Oct 12, 2023, Mar 23, 2019 (3 updates tracked since 2019).

About Shelby Marie Potkin Md NPPES

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

SHELBY MARIE POTKIN MD (NPI 1184184277) is an individual ophthalmology provider in Bemidji, Minnesota, licensed in California (A206239) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2019).

NPPES Registry Identity

NPI1184184277
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSHELBY MARIE POTKINCredential: MD
Location Address1611 ANNE ST NWBemidji, MN 56601-5114
Mailing Address2456 248th StLomita, CA 90717-1515 · (831) 332-7168 · Fax (562) 206-2507
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1184184277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A206239 Licensed in MN · 74023
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1611 ANNE ST NW, Bemidji, MN 56601

Accepted Insurance

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

Shelby Marie Potkin 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 ID2769849900
PECOS Enrollment IDI20231004002569, I20260521003482
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 19

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
233 services120 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.
155 services109 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
139 services53 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
120 services69 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
113 services111 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
106 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Optometrist
1611 ANNE ST NW
BEMIDJI, MN 56601
Family Medicine
1611 ANNE ST NW
BEMIDJI, MN 56601
Family Medicine
1611 ANNE ST NW
BEMIDJI, MN 56601
Family Medicine
1611 ANNE ST NW
BEMIDJI, MN 56601
Optometrist
1611 ANNE ST NW
BEMIDJI, MN 56601
Ophthalmology
1611 ANNE ST NW, STE 7
BEMIDJI, MN 56601
Podiatrist
1611 ANNE ST NW
BEMIDJI, MN 56601
Nurse Practitioner (Family)
1611 ANNE ST NW
BEMIDJI, MN 56601

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 Shelby Potkin's NPI number?

The NPI number for Shelby Potkin is 1184184277. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Shelby Potkin located?

Shelby Potkin practices at 1611 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-2020.

What is Shelby Potkin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shelby Potkin enrolled in Medicare?

Yes. Shelby Potkin 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.

What insurance does Shelby Potkin accept?

Health plans from Medica, Providence Health Plan, Sanford Health Plan and Security Health Plan list Shelby Potkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Potkin affiliated with any hospitals?

According to CMS data, Shelby Potkin is affiliated with Sanford Bemidji Medical Center and Lifecare Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Potkin was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.