DR. KAREN SUZANNE POTTER DDS
NPI 1548459944
Dentist - Endodontics in San Clemente, CA

Q: What is Karen Potter's NPI number?

The NPI number for Karen Potter is 1548459944. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Karen Potter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Karen Potter enrolled in Medicare?

No. Karen Potter has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Karen Potter was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 22, 2007Opted out of Medicare · through Apr 16, 2028

665 CAMINO DE LOS MARES, SUITE 204, SAN CLEMENTE, CA 92673(949) 661-9680 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Karen Suzanne Potter Dds NPPES

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

DR. KAREN SUZANNE POTTER DDS (NPI 1548459944) is an individual endodontics provider in San Clemente, California, licensed in California (56202) and active in the NPI registry since October 2007. She has opted out of Medicare through April 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548459944

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. KAREN SUZANNE POTTERCredential: DDS

Location Address665 CAMINO DE LOS MARES, SUITE 204San Clemente, CA 92673-2859

Mailing Address665 Camino De Los Mares, Suite 204San Clemente, CA 92673-2859 · (949) 661-9680

Phone(949) 661-9680

Sole ProprietorYes

Enumeration DateOctober 22, 2007

Last NPPES UpdateSeptember 21, 2010

✔ NPI 1548459944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 56202

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

665 CAMINO DE LOS MARES, San Clemente, CA 92673

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Karen Suzanne Potter Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2018 through April 16, 2028.

Opt-Out Effective DateApril 16, 2018

Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

ANESTHESIA SNOOZ INC

Anesthesiology

665 CAMINO DE LOS MARES, #103
SAN CLEMENTE, CA 92673

Orange County (760) 729-7101

DR. GABRIEL CARABULEA M.D.

Internal Medicine (Hematology & Oncology)

665 CAMINO DE LOS MARES, STE 208
SAN CLEMENTE, CA 92673

Orange County (714) 466-0787

JOHN RUSSELL GORNY M.D.

Obstetrics & Gynecology

665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673

Orange County (949) 661-3101

DANIEL T. TAM, M.D. INC

Internal Medicine (Cardiovascular Disease)

665 CAMINO DE LOS MARES, STE 305
SAN CLEMENTE, CA 92673

Orange County (949) 493-0811

WILLIAM CAPOBIANCO, D.D.S., INC

Dentist (General Practice)

665 CAMINO DE LOS MARES, SUITE 303
SAN CLEMENTE, CA 92673

Orange County (949) 443-2404

FARAMARZ PAYANDEH MD

Internal Medicine

665 CAMINO DE LOS MARES, #210
SAN CLEMENTE, CA 92673

Orange County (714) 665-1600

MRS. DENA MARIE DE LA TORRE CNM, WHCNP

Advanced Practice Midwife

665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673

Orange County (949) 661-3101

DR. NICHOLAS C SALVATI DMD

Dentist

665 CAMINO DE LOS MARES, #205
SAN CLEMENTE, CA 92673

Orange County (949) 443-0161

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 Karen Potter's NPI number?

The NPI number for Karen Potter is 1548459944. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Karen Potter located?

Karen Potter practices at 665 Camino De Los Mares Suite 204, San Clemente, CA 92673. The listed phone number is (949) 661-9680.

What is Karen Potter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Karen Potter enrolled in Medicare?

No. Karen Potter has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karen Potter was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.