GREGG THOMAS POTTORFF M.D.
NPI 1477520096
Orthopaedic Surgery - Sports Medicine in Castro Valley, CA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(510) 886-8844(510) 247-8280 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregg Thomas Pottorff M.d. NPPES

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

GREGG THOMAS POTTORFF M.D. (NPI 1477520096) is an individual sports medicine provider in Castro Valley, California, licensed in California (G61064) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1477520096
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameGREGG THOMAS POTTORFFCredential: M.D.
Location Address19842 LAKE CHABOT RDCastro Valley, CA 94546-4002
Mailing Address19842 Lake Chabot RdCastro Valley, CA 94546-4002 · (510) 886-8844 · Fax (510) 247-8280
Fax(510) 247-8280
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 2, 2006
Last NPPES UpdateJune 7, 2012
NPI 1477520096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in CA · G61064
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G61064 (CA)
19842 LAKE CHABOT RD, Castro Valley, CA 94546

Other Identifiers 2

Medicare ID-Type Unspecified00G610640
Medicare UPINF15734

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

Gregg Thomas Pottorff 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 ID9638241375
PECOS Enrollment IDI20240924001832
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.

Other Providers at the Same Location NPPES 7

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

Orthopaedic Surgery
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery (Orthopaedic Trauma)
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Plastic Surgery
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Orthopaedic Surgery (Orthopaedic Trauma)
19842 LAKE CHABOT RD
CASTRO VALLEY, CA 94546

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 Gregg Pottorff's NPI number?

The NPI number for Gregg Pottorff is 1477520096. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Gregg Pottorff located?

Gregg Pottorff practices at 19842 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (510) 886-8844.

What is Gregg Pottorff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Gregg Pottorff enrolled in Medicare?

Yes. Gregg Pottorff 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.

When was this NPI record last updated?

The NPPES record for Gregg Pottorff was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.