NICHOLAS MARTIN POTISEK MD
NPI 1770801748
Pediatrics in Greenville, SC

Q: What is Nicholas Potisek's NPI number?

The NPI number for Nicholas Potisek is 1770801748. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Q: What is Nicholas Potisek's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Potisek was last updated on May 20, 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.

Active since May 14, 2010PECOS Enrolled

701 GROVE RD FL 5, GREENVILLE, SC 29605(864) 455-4411(864) 455-4480 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2021, Dec 27, 2019 (2 updates tracked since 2019).

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About Nicholas Martin Potisek Md NPPES

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

NICHOLAS MARTIN POTISEK MD (NPI 1770801748) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (83351) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770801748

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameNICHOLAS MARTIN POTISEKCredential: MD

Location Address701 GROVE RD FL 5Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-4411

Fax(864) 455-4480

Sole ProprietorNo

Enumeration DateMay 14, 2010

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1770801748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in SC · 83351✔ Licensed in NC · 2013-00520

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

701 GROVE RD FL 5, Greenville, SC 29605

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Other Identifiers 1

MedicaidQ0052YSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Martin Potisek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Nicholas Potisek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group

0.1 mi

Nurse Practitioner

712 GROVE RD
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1053786483 (864) 455-9349

Mission Community Anesthesiology Specialists LLC

34 mi

Pain Medicine

89 HOSPITAL DR STE C
Brevard, NC 28712

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
824 clinicians in this Medicare group

NPI 1598235830 (828) 213-1740

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

BENJAMIN ELLIS RAWLS M.D.

Hospitalist