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DEREK POTTER P.A.
NPI 1679906481
Physician Assistant in Vernal, UT

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
66.09/100
CMS Quality Rating
379 N 500 W, SUITE 1A, VERNAL, UT 84078(435) 789-1165(435) 789-1169 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Potter P.a. NPPES

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

DEREK POTTER P.A. (NPI 1679906481) is an individual physician assistant in Vernal, Utah, licensed in Utah (8760465-1206) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679906481
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK POTTERCredential: P.A.
Location Address379 N 500 W, SUITE 1AVernal, UT 84078-1956
Mailing Address379 N 500 W, Suite 1aVernal, UT 84078-1956 · (435) 789-1165 · Fax (435) 789-1169
Phone(435) 789-1165
Fax(435) 789-1169
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 15, 2013
✔ NPI 1679906481 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 UT · 8760465-1206
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.
379 N 500 W, Vernal, UT 84078
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Derek Potter P.a. 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 ID5890920235
PECOS Enrollment IDI20131021001015
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 10

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
5,601 services49 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,074 services189 patients
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.
467 services317 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
293 services240 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
163 services140 patients
Application of light with debridement to destroy precancer skin growth 96574
This procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.
56 services48 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

66.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.7
Promoting Interoperability100
Improvement Activities40
Cost47.28

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$47.91 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 4

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

KINSEY REYNOLDS MS, PA-C
Physician Assistant
379 N 500 W
VERNAL, UT 84078
Uintah County (435) 789-1165
MELVIN RAY P.A.
Family Medicine
379 N 500 W, SUITE 1A
VERNAL, UT 84078
Uintah County (435) 789-1165
MR. WALTER MONTGOMERY WOOTTON PA-C
Physician Assistant
379 N 500 W
VERNAL, UT 84078
Uintah County (435) 789-1165
DALLON WHITNEY P.A.
Family Medicine
379 N 500 W, SUITE 1A
VERNAL, UT 84078
Uintah County (435) 789-1165

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 Derek Potter's NPI number?

The NPI number for Derek Potter is 1679906481. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Derek Potter located?

Derek Potter practices at 379 N 500 W Suite 1A, Vernal, UT 84078. The listed phone number is (435) 789-1165.

What is Derek Potter's specialty?

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

Is Derek Potter enrolled in Medicare?

Yes. Derek 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 Derek Potter accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Derek 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 Derek Potter affiliated with any hospitals?

According to CMS data, Derek Potter is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Potter was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.