SCOTT E. POTTER MD
NPI 1639799968
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Q: What is Scott Potter's NPI number?

The NPI number for Scott Potter is 1639799968. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Scott Potter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Potter was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2020PECOS Enrolled

1 MEDICAL DR DEPT OF, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Sep 10, 2021, Apr 16, 2020 (3 updates tracked since 2020).

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About Scott E. Potter Md NPPES

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

SCOTT E. POTTER MD (NPI 1639799968) is an individual student in an organized health care education/training program in Lebanon, New Hampshire, licensed in New Hampshire (R4561) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639799968

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSCOTT E. POTTERCredential: MD

Location Address1 MEDICAL DR DEPT OFLebanon, NH 03756-1000

Mailing Address1 Medical Dr Dept OfLebanon, NH 03756-0001 · (603) 650-5000

Phone(603) 650-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 16, 2020

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1639799968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NH · R4561

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 12404261-1205 (UT)

1 MEDICAL DR DEPT OF, Lebanon, NH 03756

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott E. Potter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103334032

PECOS Enrollment IDI20260604002545

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.

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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.

RYAN JOHN HANUSEK