MARTIN DE LA PRESA POTHIER
NPI 1659732576
Ophthalmology in Wichita, KS

Active since March 20, 2016PECOS EnrolledAccepts Medicare Assignment
90.67/100
CMS Quality Rating
1851 N WEBB RD, WICHITA, KS 67206(316) 636-2010 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2021, May 17, 2020, Mar 20, 2016 (3 updates tracked since 2016).

About Martin De La Presa Pothier NPPES

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

MARTIN DE LA PRESA POTHIER (NPI 1659732576) is an individual ophthalmology provider in Wichita, Kansas, licensed in Ohio (35138908) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Kansas Surgery & Recovery Center, and is a graduate of University Of Utah School Of Medicine (2016).

NPPES Registry Identity

NPI1659732576
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARTIN DE LA PRESA POTHIER
Location Address1851 N WEBB RDWichita, KS 67206-3413
Mailing Address1851 N Webb RdWichita, KS 67206-3413 · (316) 636-2010
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2016
Enumeration DateMarch 20, 2016
Last NPPES UpdateJune 3, 20213 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1659732576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in OH · 35138908✔ Licensed in KY · 53669✔ Licensed in KS · 04-44602
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1851 N WEBB RD, Wichita, KS 67206

Other Identifiers 1

Medicaid201329490AKS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin De La Presa Pothier 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 ID3072809714
PECOS Enrollment IDI20210510001780
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.

Medicare Billing Reassignment

Medicare enrollment records show Martin De La Presa Pothier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
1851 N WEBB RD
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 45 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,019 services627 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
279 services166 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
241 services123 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
200 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services142 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
140 services123 patients

Hospital Affiliations CMS Care Compare

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

Kansas Surgery & Recovery Center

Acute Care Hospitals · Wichita, KS
OwnershipPhysician
CMS Certification Number170183
Location2770 North Webb RoadWichita, KS 67226 · Sedgwick County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67206 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

90.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.9

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers16 claims16 services$54.39 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers14 claims27 services$52.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Optometrist
1851 N WEBB RD
WICHITA, KS 67206
Optometrist
1851 N WEBB RD
WICHITA, KS 67206
Optometrist
1851 N WEBB RD
WICHITA, KS 67206
Optometrist
1851 N WEBB RD
WICHITA, KS 67206
Optometrist
1851 N WEBB RD
WICHITA, KS 67206
Ophthalmology
1851 N WEBB RD
WICHITA, KS 67206
Ophthalmology
1851 N WEBB RD
WICHITA, KS 67206
Ophthalmology
1851 N WEBB RD
WICHITA, KS 67206

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 Martin De La Presa Pothier's NPI number?

The NPI number for Martin De La Presa Pothier is 1659732576. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Martin De La Presa Pothier located?

Martin De La Presa Pothier practices at 1851 N Webb Rd, Wichita, KS 67206. The listed phone number is (316) 636-2010.

What is Martin De La Presa Pothier's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Martin De La Presa Pothier enrolled in Medicare?

Yes. Martin De La Presa Pothier 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.

Which organization bills Medicare for Martin De La Presa Pothier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin De La Presa Pothier reassigns Medicare benefits to Grene Vision Group LLC (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin De La Presa Pothier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin De La Presa Pothier accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers list Martin De La Presa Pothier 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 Martin De La Presa Pothier affiliated with any hospitals?

According to CMS data, Martin De La Presa Pothier is affiliated with Kansas Surgery & Recovery Center.

When was this NPI record last updated?

The NPPES record for Martin De La Presa Pothier was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.