TROY D POTTER MD
NPI 1265432645
Internal Medicine in Texarkana, TX

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
5002 COWHORN CREEK RD, TEXARKANA, TX 75503(903) 614-3000(903) 614-3525 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Troy D Potter Md NPPES

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

TROY D POTTER MD (NPI 1265432645) is an individual internal medicine provider in Texarkana, Texas, licensed in Texas (L5098) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1265432645
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTROY D POTTERCredential: MD
Location Address5002 COWHORN CREEK RDTexarkana, TX 75503-9766
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Fax(903) 614-3525
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991
Enumeration DateJuly 27, 2005
Last NPPES UpdateJuly 14, 2007
NPI 1265432645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · L5098 Licensed in LA · 09329R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5002 COWHORN CREEK RD, Texarkana, TX 75503

Other Identifiers 2

Medicare UPINF85137
Medicare ID-Type Unspecified846089TX

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

Troy D Potter 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 ID1850432519
PECOS Enrollment IDI20100104000488
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 60

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
13,000 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,980 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,424 services514 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,369 services515 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,191 services496 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.
1,160 services447 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers104 claims298 services$6.25 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers23 claims23 services$2.81 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
4 suppliers11 claims11 services$1.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers39 claims73 services$1.17 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers21 claims21 services$33.84 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$60.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Urology
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Psychiatry & Neurology (Psychiatry)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Allergy & Immunology
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Rheumatology)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Internal Medicine (Gastroenterology)
5002 COWHORN CREEK RD
TEXARKANA, TX 75503
Physician Assistant
5002 COWHORN CREEK RD
TEXARKANA, TX 75503

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 Troy Potter's NPI number?

The NPI number for Troy Potter is 1265432645. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Troy Potter located?

Troy Potter practices at 5002 Cowhorn Creek Rd, Texarkana, TX 75503. The listed phone number is (903) 614-3000.

What is Troy Potter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Troy Potter enrolled in Medicare?

Yes. Troy Potter 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 Troy Potter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Troy Potter 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 Troy Potter affiliated with any hospitals?

According to CMS data, Troy Potter is affiliated with Christus Mother Frances Hospital and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Troy Potter was last updated on July 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.