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MRS. MELISSA J POTTER PA-C
NPI 1609841097
Physician Assistant in Worcester, MA

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
67 BELMONT ST, WORCESTER, WORCESTER, MA 01605(508) 334-0545(508) 334-6515 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Melissa J Potter Pa-c NPPES

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

MRS. MELISSA J POTTER PA-C (NPI 1609841097) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (1835) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609841097
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MELISSA J POTTERCredential: PA-C
Location Address67 BELMONT ST, WORCESTERWorcester, MA 01605-2657
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 334-0545
Fax(508) 334-6515
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 21, 2006
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1609841097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 1835
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.
67 BELMONT ST, Worcester, MA 01605
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Other Names 1

Former Name (1)Ms. Melissa Whitman Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mrs. Melissa J Potter Pa-c 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 ID5597723437
PECOS Enrollment IDI20041227000037
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 3

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

KAITLYN OLDEWURTEL DO
Colon & Rectal Surgery
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8195
MARK WEBSTER MAXFIELD M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5826
MIRRET EL-HAGRASSY
Psychiatry & Neurology (Neurology)
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6641
DR. GEOFFREY M GRAEBER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 BELMONT ST, DIVISION OF THORACIC SURGERY
WORCESTER, MA 01605
Worcester County (508) 334-8996
DR. FRANCIS MICHAEL HUTTINGER MD
Psychiatry & Neurology (Neurology)
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6641
MS. JANET A MCDADE NP
Nurse Practitioner
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8195
MR. MIN SHICK AHN MD
Otolaryngology
67 BELMONT ST, STE 103
WORCESTER, MA 01605
Worcester County (508) 755-8623
CARLOS FAIREN ORO MD
Surgery
67 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8195

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 Melissa Potter's NPI number?

The NPI number for Melissa Potter is 1609841097. It was assigned to this individual provider in the NPPES registry on February 21, 2006. The provider is also known as Ms. Melissa Whitman Pa-C.

Where is Melissa Potter located?

Melissa Potter practices at 67 Belmont St Worcester, Worcester, MA 01605. The listed phone number is (508) 334-0545.

What is Melissa Potter's specialty?

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

Is Melissa Potter enrolled in Medicare?

Yes. Melissa 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 Melissa Potter accept?

Health plans from Anthem Blue Cross and Blue Shield list Melissa 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 Melissa Potter affiliated with any hospitals?

According to CMS data, Melissa Potter is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Melissa Potter was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.