DR. SERGEY SERGEYEVICH POTEPALOV MD
NPI 1215255633
Emergency Medicine in Webster, TX

Q: What is Sergey Potepalov's NPI number?

The NPI number for Sergey Potepalov is 1215255633. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Q: What is Sergey Potepalov's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Sergey Potepalov was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 10, 2010PECOS EnrolledAccepts Medicare Assignment

500 W MEDICAL CENTER BLVD, DEPARTMENT OF EMERGENCY MEDICINE, WEBSTER, TX 77598(281) 338-3708(281) 338-3224 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Sergey Sergeyevich Potepalov Md NPPES

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

DR. SERGEY SERGEYEVICH POTEPALOV MD (NPI 1215255633) is an individual emergency medicine provider in Webster, Texas, licensed in Texas (P9695) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Brazosport, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2010).

NPPES Registry Identity

NPI1215255633

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. SERGEY SERGEYEVICH POTEPALOVCredential: MD

Location Address500 W MEDICAL CENTER BLVD, DEPARTMENT OF EMERGENCY MEDICINEWebster, TX 77598-4220

Mailing Address500 W Medical Center Blvd, Department Of Emergency MedicineWebster, TX 77598-4220 · (281) 338-3708 · Fax (281) 338-3224

Phone(281) 338-3708

Fax(281) 338-3224

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2010

Enumeration DateMay 10, 2010

Last NPPES UpdateOctober 29, 2015

✔ NPI 1215255633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TX · P9695✔ Licensed in LA · MD.20529

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

500 W MEDICAL CENTER BLVD, Webster, TX 77598

Open in Google Maps ↗

Other Identifiers 2

Medicaid2103610LA

Medicaid337030602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Sergey Sergeyevich Potepalov 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 ID1052535002

PECOS Enrollment IDI20140612000897

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

213 services185 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

134 services117 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

63 services59 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

34 services33 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Brazosport

Acute Care Hospitals · Lake Jackson, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450072

Location100 Medical DriveLake Jackson, TX 77566 · Brazoria County

Emergency services

Sweeny Community Hospital

Critical Access Hospitals · Sweeny, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451311

Location305 North MckinneySweeny, TX 77480 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77598 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

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.

DR. JESSICA LEI HAWKINS MD

Student in an Organized Health Care Education/Training Program