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SAMUEL POTTER MD
NPI 1306473889
Psychiatry & Neurology - Psychiatry in Lexington, KY

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
310 S LIMESTONE, LEXINGTON, KY 40508(859) 226-7063(859) 226-7266 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2024, Aug 23, 2023, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

About Samuel Potter Md NPPES

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

SAMUEL POTTER MD (NPI 1306473889) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (59729) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306473889
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL POTTERCredential: MD
Location Address310 S LIMESTONELexington, KY 40508-3008
Mailing Address245 Fountain CourtLexington, KY 40509
Phone(859) 226-7063
Fax(859) 226-7266
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1306473889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 59729
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
310 S LIMESTONE, Lexington, KY 40508
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11350 Bull Lea RdLexington, KY 40511-1247 · Phone (859) 246-8000
Location 2245 Fountain CourtLexington, KY 40509 · Phone (859) 323-6021 · Fax (859) 323-4927

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel 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 ID4880083013
PECOS Enrollment IDI20240912003303
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

2

Medicare enrollment records show Samuel Potter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.7 mi
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1881641769 (859) 257-7920
Kentucky Medical Services Foundation, Inc
3.9 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

SHAYLA FULTON APRN
Nurse Practitioner (Psychiatric/Mental Health)
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 226-7063
JACOB RYAN BROOKS
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 323-4756
TADARRO L. RICHARDSON M.D. P.S.C.
Internal Medicine
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 226-7000
LEANNA P STURGILL NP-C
Nurse Practitioner
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 226-7140
SARAH MICHELLE MCCLANAHAN DO
Psychiatry & Neurology (Psychiatry)
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 226-7063
PARIN PATEL
Student in an Organized Health Care Education/Training Program
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 323-4756
KATRINA EKMANN RN
Registered Nurse (Emergency)
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 323-8872
JOHN R JENKINS M.D.
Anesthesiology
310 S LIMESTONE
LEXINGTON, KY 40508
Fayette County (859) 252-6612

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 Samuel Potter's NPI number?

The NPI number for Samuel Potter is 1306473889. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Samuel Potter located?

Samuel Potter practices at 310 S Limestone, Lexington, KY 40508. The listed phone number is (859) 226-7063.

What is Samuel Potter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Potter enrolled in Medicare?

Yes. Samuel 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.

Which organizations bill Medicare for Samuel Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Potter reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Samuel Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Potter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Samuel 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 Samuel Potter affiliated with any hospitals?

According to CMS data, Samuel Potter is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Potter was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.