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DR. DARRELL JACK POTTER M.D.
NPI 1265412605
Orthopaedic Surgery in Kentwood, MI

Active since January 20, 2006PECOS Enrolled
5491 W ROSEBUD CT SE, #4, KENTWOOD, MI 49512(334) 322-3489 Get Directions Write a Review

NPPES record last updated: November 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2019, Jan 17, 2017 (2 updates tracked since 2017).

About Dr. Darrell Jack Potter M.d. NPPES

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

DR. DARRELL JACK POTTER M.D. (NPI 1265412605) is an individual orthopaedic surgery provider in Kentwood, Michigan, licensed in Michigan (4301030727) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265412605
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DARRELL JACK POTTERCredential: M.D.
Location Address5491 W ROSEBUD CT SE, #4Kentwood, MI 49512-9464
Mailing Address6214 Sweet Clover Ln SeCaledonia, MI 49316-8291 · (334) 322-3489
Phone(334) 322-3489
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateNovember 3, 20192 updates tracked since enumeration
✔ NPI 1265412605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MI · 4301030727✔ Licensed in NC · 2006-01651✔ Licensed in IA · MD-42830✔ Licensed in MO · 2016005465
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5491 W ROSEBUD CT SE, Kentwood, MI 49512
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Other Identifiers 2

Medicaid41005AL
Other51041005AL · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Darrell Jack Potter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Darrell Potter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newaygo County General Hospital Association
35 mi
Rural Health
230 S MAPLE ST
Grant, MI 49327
  • Reassigned Medicare billing, Michigan enrollment
  • 180 clinicians in this Medicare group
NPI 1013040492 (231) 834-5995
Memorial Medical Center Of West Michigan
87 mi
Psychiatric Unit
1 N ATKINSON DR
Ludington, MI 49431
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1356510259 (231) 843-2591
Portage Physician Practices Inc
329 mi
Rural Health
921 W SHARON AVE
Houghton, MI 49931
  • Reassigned Medicare billing, Michigan enrollment
  • 130 clinicians in this Medicare group
NPI 1376229419 (906) 483-1777
Scotland Memorial Hospital, Inc
644 mi
Rural Health
24420 MARLBORO ST
Wagram, NC 28396
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1891789970 (910) 369-3136
Signify Health Medical Associates, PLLC
920 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49512 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Darrell Potter's NPI number?

The NPI number for Darrell Potter is 1265412605. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Darrell Potter located?

Darrell Potter practices at 5491 W Rosebud Ct SE #4, Kentwood, MI 49512. The listed phone number is (334) 322-3489.

What is Darrell Potter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Darrell Potter enrolled in Medicare?

Yes. Darrell Potter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Darrell Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darrell Potter reassigns Medicare benefits to 5 organizations: Newaygo County General Hospital Association (Grant, MI), Memorial Medical Center Of West Michigan (Ludington, MI), Portage Physician Practices Inc (Houghton, MI), Scotland Memorial Hospital, Inc (Wagram, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darrell Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Darrell Potter was last updated on November 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.