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MR. ORIE R POTTER PAC MPAS
NPI 1477514958
Physician Assistant in Macomb, IL

Active since April 01, 2006PECOS EnrolledAccepts Medicare Assignment
1400 E CARROLL, MACOMB, IL 61455(309) 833-2500(309) 833-1760 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Orie R Potter Pac Mpas NPPES

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

MR. ORIE R POTTER PAC MPAS (NPI 1477514958) is an individual physician assistant in Macomb, Illinois, licensed in Illinois (085000614) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1477514958
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ORIE R POTTERCredential: PAC MPAS
Location Address1400 E CARROLLMacomb, IL 61455
Mailing AddressPo Box 198Oquawka, IL 61469-0198 · (309) 867-2202 · Fax (309) 867-3205
Phone(309) 833-2500
Fax(309) 833-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 1, 2006
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1477514958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085000614✔ Licensed in IA · 001876
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 E CARROLL, Macomb, IL 61455
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Other Identifiers 1

Medicaid371352599001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mr. Orie R Potter Pac Mpas 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 ID547251951
PECOS Enrollment IDI20140220001136
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
246 services234 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services89 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Orie Potter's NPI number?

The NPI number for Orie Potter is 1477514958. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Orie Potter located?

Orie Potter practices at 1400 E Carroll, Macomb, IL 61455. The listed phone number is (309) 833-2500.

What is Orie Potter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Orie Potter enrolled in Medicare?

Yes. Orie 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 Orie Potter accept?

Health plans from Medica list Orie 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 Orie Potter affiliated with any hospitals?

According to CMS data, Orie Potter is affiliated with Trinity Rock Island, Southeast Iowa Regional Medical Center and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Orie Potter was last updated on February 13, 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.