EUGENE L POTESTA JR. M.D.
NPI 1316032097
Otolaryngology in Youngstown, OH

Q: What is Eugene Potesta's NPI number?

The NPI number for Eugene Potesta is 1316032097. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Eugene Potesta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Eugene Potesta was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

7227 GLENWOOD AVE, YOUNGSTOWN, OH 44512(330) 629-2144(330) 629-2140 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Eugene L Potesta Jr. M.d. NPPES

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

EUGENE L POTESTA JR. M.D. (NPI 1316032097) is an individual otolaryngology provider in Youngstown, Ohio, licensed in Ohio (35.059991) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1316032097

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameEUGENE L POTESTA JR.Credential: M.D.

Location Address7227 GLENWOOD AVEYoungstown, OH 44512-4853

Mailing Address7227 Glenwood AveYoungstown, OH 44512-4853 · (330) 629-2144 · Fax (330) 629-2140

Phone(330) 629-2144

Fax(330) 629-2140

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 21, 2007

✔ NPI 1316032097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in OH · 35.059991

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

7227 GLENWOOD AVE, Youngstown, OH 44512

Open in Google Maps ↗

Other Identifiers 15

Other341112079029Caresource

Other10-0016OH · Uhc Pin

OtherZ59991Summacare

Other1507349Gateway

Medicare UPINE15018OH

Other000000127501OH · Anthem Pin

Other0756534Bcmh

Other1751176006OH · Cigna

Other000000127501Unicare

Other170476Unison

Medicaid0756534OH

Medicare PINPO0705943

Other177763Keystone Health Plan

Medicare PINPO0705941OH

Medicare PINPO0705942

Accepted Insurance

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

Eugene L Potesta Jr. M.d. 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 ID6709789407

PECOS Enrollment IDI20120110000290

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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

630 services392 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

580 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

131 services131 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

63 services54 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

40 services32 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

40 services40 patients

Hospital Affiliations CMS Care Compare

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

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers16 claims16 services$9.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers17 claims92 services$1.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 6

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

LEAH C FREDERICK-TOTH AU.D.

Audiologist