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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.