DR. ELIZABETH ANNE POTOCNIK M.D.
NPI 1669867313
Obstetrics & Gynecology in Downers Grove, IL

Q: What is Elizabeth Potocnik's NPI number?

The NPI number for Elizabeth Potocnik is 1669867313. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Elizabeth Potocnik's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

3825 HIGHLAND AVE STE 210, DOWNERS GROVE, IL 60515(630) 435-6107(630) 435-6134 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Sep 29, 2022, Aug 4, 2022 and 3 more (6 updates tracked since 2019).

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About Dr. Elizabeth Anne Potocnik M.d. NPPES

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

DR. ELIZABETH ANNE POTOCNIK M.D. (NPI 1669867313) is an individual obstetrics & gynecology provider in Downers Grove, Illinois, licensed in Illinois (036-160985) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of University Of Toledo College Of Medicine (2015).

NPPES Registry Identity

NPI1669867313

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. ELIZABETH ANNE POTOCNIKCredential: M.D.

Location Address3825 HIGHLAND AVE STE 210Downers Grove, IL 60515-1561

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(630) 435-6107

Fax(630) 435-6134

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2015

Enumeration DateMarch 31, 2015

Last NPPES UpdateAugust 17, 20236 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1669867313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036-160985✔ Licensed in OH · 35135702

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3825 HIGHLAND AVE STE 210, Downers Grove, IL 60515

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Other Identifiers 1

Medicaid0358100OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Elizabeth Anne Potocnik 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 ID4587972062

PECOS Enrollment IDI20220912002094

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

20 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 10

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

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