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DR. MARK IMMANUEL POTES MD
NPI 1295438752
Family Medicine in Hesperia, CA

Active since March 23, 2023PECOS Enrolled
17043 MAIN ST, HESPERIA, CA 92345(760) 241-6666 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Jul 23, 2026, Mar 23, 2023 (3 updates tracked since 2023).

About Dr. Mark Immanuel Potes Md NPPES

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

DR. MARK IMMANUEL POTES MD (NPI 1295438752) is an individual family medicine provider in Hesperia, California, licensed in California (A207282) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of California University Of Science And Medicine (2023).

NPPES Registry Identity

NPI1295438752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK IMMANUEL POTESCredential: MD
Location Address17043 MAIN STHesperia, CA 92345-6055
Mailing Address17043 Main StHesperia, CA 92345-6055
Phone(760) 241-6666
Sole ProprietorNo
Medical School CMSCalifornia University Of Science And MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1295438752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A207282
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17043 MAIN ST, Hesperia, CA 92345
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Other Names 1

Other Name (5)Dr. Mark Immanuel Valdez Potes Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Immanuel Potes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880153238
PECOS Enrollment IDI20260826001444
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 Reassignment

Medicare enrollment records show Mark Potes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
4.4 mi
Urology
19333 BEAR VALLEY RD, SUITE 106
Apple Valley, CA 92308
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1053616706 (760) 240-5505

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 92345 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROXANNE SHIZU BARBE
Nurse Practitioner (Family)
17043 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 241-6666
KENNETH HERRICK NP
Nurse Practitioner
17043 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 241-6666

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 Mark Potes's NPI number?

The NPI number for Mark Potes is 1295438752. It was assigned to this individual provider in the NPPES registry on March 23, 2023. The provider is also known as Dr. Mark Immanuel Valdez Potes MD.

Where is Mark Potes located?

Mark Potes practices at 17043 Main St, Hesperia, CA 92345. The listed phone number is (760) 241-6666.

What is Mark Potes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Potes enrolled in Medicare?

Yes. Mark Potes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Potes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Potes reassigns Medicare benefits to Providence Medical Foundation (Apple Valley, CA). The 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 Mark Potes'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 Mark Potes was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.