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DR. ALISON L POTTER DO
NPI 1407014095
Psychiatry & Neurology - Neurology in Newark, DE

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
774 CHRISTIANA ROAD, SUITE 201, NEWARK, DE 19713(302) 731-3017(814) 877-4010 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alison L Potter Do NPPES

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

DR. ALISON L POTTER DO (NPI 1407014095) is an individual neurology provider in Newark, Delaware, licensed in Delaware (C2-0010563) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1407014095
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ALISON L POTTERCredential: DO
Location Address774 CHRISTIANA ROAD, SUITE 201Newark, DE 19713-4221
Mailing AddressPo Box 30170Wilmington, DE 19805-7170 · (814) 877-6000 · Fax (814) 877-4010
Phone(302) 731-3017
Fax(814) 877-4010
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateMay 30, 2008
Last NPPES UpdateAugust 13, 2013
✔ NPI 1407014095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in DE · C2-0010563✔ Licensed in PA · OT012652
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
774 CHRISTIANA ROAD, Newark, DE 19713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Alison L Potter Do 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 ID9638311772
PECOS Enrollment IDI20130820000309
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 4

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 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.
53 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services29 patients
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.
29 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 9

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

LAWRENCE D CHANG M.D., PA
Plastic Surgery
774 CHRISTIANA ROAD, SUITE 101
NEWARK, DE 19713
New Castle County (302) 355-0005
PAWAN RASTOGI MD
Neurological Surgery
774 CHRISTIANA ROAD, SUITE 202
NEWARK, DE 19713
New Castle County (302) 366-7671
MAGDY I. BOULOS MD
Neurological Surgery
774 CHRISTIANA ROAD, SUITE 202 DELAWARE NEUROSURGICAL GROUP, PA
NEWARK, DE 19713
New Castle County (302) 366-7671
JASON M SILVERSTEEN DO
Psychiatry & Neurology (Neurology)
774 CHRISTIANA ROAD, SUITE 201
NEWARK, DE 19713
New Castle County (302) 731-3017
JUSTIN FLEEGLE PA-C
Physician Assistant (Surgical)
774 CHRISTIANA ROAD, SUITE 202
NEWARK, DE 19713
New Castle County (302) 366-7671
FIRST STATE ENT ASSOCIATION INC
Otolaryngology
774 CHRISTIANA ROAD, NEUROSCIENCE BUILDING STE B4
NEWARK, DE 19713
New Castle County (302) 266-2449
DR. YADIRA VELAZQUEZ-RODRIGUEZ M.D.
Psychiatry & Neurology (Neurology)
774 CHRISTIANA ROAD, SUITE 201
NEWARK, DE 19713
New Castle County (302) 731-3017
KYO A KIM M.D. P.A.
Plastic Surgery
774 CHRISTIANA ROAD, SUITE 101
NEWARK, DE 19713
New Castle County (302) 623-4004

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 Alison Potter's NPI number?

The NPI number for Alison Potter is 1407014095. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Alison Potter located?

Alison Potter practices at 774 Christiana Road Suite 201, Newark, DE 19713. The listed phone number is (302) 731-3017.

What is Alison Potter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Alison Potter enrolled in Medicare?

Yes. Alison 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 Alison Potter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Alison 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.

When was this NPI record last updated?

The NPPES record for Alison Potter was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.