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TOBY BRANDON POTIER FNP-C
NPI 1801594023
Family Medicine in Lafayette, LA

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
203 WESTGATE RD, LAFAYETTE, LA 70506(337) 223-8401 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Toby Brandon Potier Fnp-c NPPES

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

TOBY BRANDON POTIER FNP-C (NPI 1801594023) is an individual family medicine provider in Lafayette, Louisiana, licensed in Louisiana (229486) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1801594023
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOBY BRANDON POTIERCredential: FNP-C
Location Address203 WESTGATE RDLafayette, LA 70506-2712
Mailing Address203 Westgate RdLafayette, LA 70506-2712 · (337) 223-8401
Phone(337) 223-8401
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1801594023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 229486
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 WESTGATE RD, Lafayette, LA 70506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Toby Brandon Potier Fnp-c 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 ID7416313366
PECOS Enrollment IDI20230518001105
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
676 services62 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.
132 services106 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
98 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
85 services68 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
68 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 2

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

HULIN URGENT CARE SERVICES, LLC
Clinic/Center (Urgent Care)
203 WESTGATE RD
LAFAYETTE, LA 70506
Lafayette Parish (337) 223-8401
DR. KRISTIN LUCAS BOUDREAUX DC, MSN, APRN
Nurse Practitioner (Family)
203 WESTGATE RD
LAFAYETTE, LA 70506
Lafayette Parish (337) 223-8401

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 Toby Potier's NPI number?

The NPI number for Toby Potier is 1801594023. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Toby Potier located?

Toby Potier practices at 203 Westgate Rd, Lafayette, LA 70506. The listed phone number is (337) 223-8401.

What is Toby Potier's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toby Potier enrolled in Medicare?

Yes. Toby Potier 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 Toby Potier accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Toby Potier 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.

When was this NPI record last updated?

The NPPES record for Toby Potier was last updated on February 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.