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CHARLES R. POTTER M.D.
NPI 1396839890
Otolaryngology in Lima, OH

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
770 W HIGH ST, SUITE 460, LIMA, OH 45801(419) 226-4300(419) 226-4305 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles R. Potter M.d. NPPES

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

CHARLES R. POTTER M.D. (NPI 1396839890) is an individual otolaryngology provider in Lima, Ohio, licensed in Ohio (35.127414) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Washington University School Of Medicine (1974).

NPPES Registry Identity

NPI1396839890
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCHARLES R. POTTERCredential: M.D.
Location Address770 W HIGH ST, SUITE 460Lima, OH 45801-3990
Mailing AddressPo Box 636930Cincinnati, OH 45263-6930 · (513) 981-5123 · Fax (513) 981-5015
Phone(419) 226-4300
Fax(419) 226-4305
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1974
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 27, 2015
✔ NPI 1396839890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35.127414
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.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License R6288 (MO)
770 W HIGH ST, Lima, OH 45801
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Other Identifiers 1

Medicare UPINC39944

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Sanford Health Plan.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

Charles R. Potter 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 ID4587684006
PECOS Enrollment IDI20251216003698
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 7

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.
59 services48 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.
48 services37 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.
41 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
32 services32 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.
30 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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.

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.

LIMA EAR NOSE AND THROAT SPECIALISTS, LLC
Otolaryngology
770 W HIGH ST, SUITE 460
LIMA, OH 45801
Allen County (419) 224-5111
ALI S ALMUDALLAL M.D.
Psychiatry & Neurology (Neurology)
770 W HIGH ST, SUITE 160
LIMA, OH 45801
Allen County (419) 996-5224
ROSA LINDA LOCKE-PORRECA LISW
Social Worker
770 W HIGH ST, SUITE 300
LIMA, OH 45801
Allen County (419) 996-5033
ANGELA MAAS CNP
Nurse Practitioner (Family)
770 W HIGH ST, SUITE 460
LIMA, OH 45801
Allen County (419) 226-4300
DR. MARC S. ROVNER M.D.
Internal Medicine (Pulmonary Disease)
770 W HIGH ST, SUITE 240
LIMA, OH 45801
Allen County (419) 996-2686
SOHRAB DADFAR PH.D.
Psychologist (Clinical)
770 W HIGH ST, SUIT 300
LIMA, OH 45801
Allen County (419) 996-5033
NEUROLOGY ASSOCIATES OF LIMA
Specialist
770 W HIGH ST, SUITE 360
LIMA, OH 45801
Allen County (419) 225-9210
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Otolaryngology
770 W HIGH ST, SUITE 480
LIMA, OH 45801
Allen County (419) 227-9500

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 Charles Potter's NPI number?

The NPI number for Charles Potter is 1396839890. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Charles Potter located?

Charles Potter practices at 770 W High St Suite 460, Lima, OH 45801. The listed phone number is (419) 226-4300.

What is Charles Potter's specialty?

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

Is Charles Potter enrolled in Medicare?

Yes. Charles 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 Charles Potter accept?

Health plans from CareSource and Sanford Health Plan list Charles 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 Charles Potter affiliated with any hospitals?

According to CMS data, Charles Potter is affiliated with Mercy Health-St Rita's Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Potter was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.