STEPHANIE KATHRYN POTTER M.D.
NPI 1609892413
Family Medicine in Conroe, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1169 GRAND CENTRAL PKWY, CONROE, TX 77304(936) 525-3600(936) 525-3624 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2025, Jun 17, 2019, Feb 2, 2016 (3 updates tracked since 2016).

About Stephanie Kathryn Potter M.d. NPPES

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

STEPHANIE KATHRYN POTTER M.D. (NPI 1609892413) is an individual family medicine provider in Conroe, Texas, licensed in Texas (N-3251) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Baylor College Of Medicine (2006).

NPPES Registry Identity

NPI1609892413
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE KATHRYN POTTERCredential: M.D.
Location Address1169 GRAND CENTRAL PKWYConroe, TX 77304-3185
Mailing Address1169 Grand Central PkwyConroe, TX 77304-3185 · (936) 525-3600 · Fax (936) 525-3624
Fax(936) 525-3624
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2006
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1609892413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · N-3251 Licensed in OR · MD177584 Licensed in ID · MR-0872 Licensed in ID · M-10113 Licensed in ID · M-16783
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1169 GRAND CENTRAL PKWY, Conroe, TX 77304

Secondary Practice Locations 2

Location 1302 W Idaho StBoise, ID 83702-6039 · Phone (208) 369-4590 · Fax (208) 906-2346
Location 2207 1st St SNampa, ID 83651-3703 · Phone (208) 466-7869 · Fax (208) 466-5359

Other Identifiers 3

Other1196215ID · Medicare Ptan
OtherP01009617ID · Medicare Railroad
Medicaid1609892413ID

Accepted 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

Stephanie Kathryn Potter 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 ID7315090859
PECOS Enrollment IDI20090731000436
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,488 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
71%296 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%173 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%742 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%742 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%742 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%742 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Emergency Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Pediatrics
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Psychologist
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Internal Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Internal Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Family Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Clinic/Center (Multi-Specialty)
1169 GRAND CENTRAL PKWY
CONROE, TX 77304
Internal Medicine
1169 GRAND CENTRAL PKWY
CONROE, TX 77304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609892413, enumerated as an "individual" on July 14, 2006.

The provider is located at 1169 GRAND CENTRAL PKWY CONROE, TX 77304 and the phone number is (936) 525-3600.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Select. Please consult your insurance carrier or call the provider to verify.