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DR. BENJAMIN KYLE POTTER MD
NPI 1427163849
Orthopaedic Surgery in Washington, DC

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVENUE NW, WASHINGTON, DC 20307(202) 782-7806(202) 782-6845 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Benjamin Kyle Potter Md NPPES

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

DR. BENJAMIN KYLE POTTER MD (NPI 1427163849) is an individual orthopaedic surgery provider in Washington, District Of Columbia, licensed in Maryland (D60916) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2001).

NPPES Registry Identity

NPI1427163849
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BENJAMIN KYLE POTTERCredential: MD
Location AddressWALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVENUE NWWashington, DC 20307-0001
Mailing Address2813 27th St NwWashington, DC 20008-4129 · (202) 939-0688 · Fax (202) 782-6845
Phone(202) 782-7806
Fax(202) 782-6845
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2001
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427163849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MD · D60916
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
WALTER REED ARMY MEDICAL CTR, Washington, DC 20307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Benjamin Kyle 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 ID2264619857
PECOS Enrollment IDI20240625002592
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

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.

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20307 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

DR. HARVEY M. COHEN M. D.
Orthopaedic Surgery
WALTER REED ARMY MEDICAL CTR
WASHINGTON, DC 20307
District of Columbia (202) 782-0292
DR. MICHAEL DIRKS M.D.
Student in an Organized Health Care Education/Training Program
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE, NW
WASHINGTON, DC 20307
District of Columbia (202) 782-8753
MICHAEL Y. MCCOWN D.O.
Pediatrics
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE. N.W.
WASHINGTON, DC 20307
District of Columbia (202) 782-4211
NANCY ROCHELLE MEYER M.S.W.
Social Worker (Clinical)
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE, N.W.
WASHINGTON, DC 20307
District of Columbia (202) 782-8054
ANN GALLAHAN EGLAND MD
Emergency Medicine
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE, NW
WASHINGTON, DC 20307
District of Columbia (202) 782-1199
JOSEPH G DOUGHERTY M.D.
Psychiatry & Neurology (Psychiatry)
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVENUE
WASHINGTON, DC 20307
District of Columbia (202) 782-5973
MS. DEBORAH MAURI VAN DER WATT CRNP
Nurse Practitioner (Family)
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVENUE NW
WASHINGTON, DC 20307
District of Columbia (202) 782-1181
DR. ADELE LEVINE PT
Physical Therapist
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE, NW
WASHINGTON, DC 20307
District of Columbia (202) 782-6371

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 Benjamin Potter's NPI number?

The NPI number for Benjamin Potter is 1427163849. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Benjamin Potter located?

Benjamin Potter practices at Walter Reed Army Medical Ctr 6900 Georgia Avenue NW, Washington, DC 20307. The listed phone number is (202) 782-7806.

What is Benjamin Potter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Potter enrolled in Medicare?

Yes. Benjamin 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 Benjamin Potter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Benjamin 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 Benjamin Potter affiliated with any hospitals?

According to CMS data, Benjamin Potter is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Potter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.