KYLE B POTTS MD
NPI 1811965221
Surgery in Visalia, CA

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.25/100
CMS Quality Rating
805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 93291(559) 738-0450(559) 738-0460 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle B Potts Md NPPES

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

KYLE B POTTS MD (NPI 1811965221) is an individual surgery provider in Visalia, California, licensed in California (G64819) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1987).

NPPES Registry Identity

NPI1811965221
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKYLE B POTTSCredential: MD
Location Address805 W ACEQUIA AVE, SUITE 2-AVisalia, CA 93291-6162
Mailing Address805 W Acequia Ave, Suite 2-aVisalia, CA 93291-6162 · (559) 738-0450 · Fax (559) 738-0460
Fax(559) 738-0460
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1987
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 16, 2011
NPI 1811965221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G64819
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
805 W ACEQUIA AVE, Visalia, CA 93291

Other Identifiers 3

Medicaid1265651756CA
Medicare UPINH03402
Medicare ID-Type UnspecifiedW16726

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

Kyle B Potts Md 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 ID1456258037
PECOS Enrollment IDI20031215000376
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.

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.
303 services201 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.
76 services76 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
72 services62 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
44 services43 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.
32 services24 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

93.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.5
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
99%401 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
66%232 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,768 patients5/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
97%299 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 97% · 478 patients
97%478 patients
Provide Patients Electronic Access to Their Health Information
99%379 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 413 patients
Patients totalRate: 0% · 413 patients
0%413 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$6.55 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims825 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$26.06 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 8

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

Dermatology
805 W ACEQUIA AVE, SUITE 2C
VISALIA, CA 93291
Dermatology (MOHS-Micrographic Surgery)
805 W ACEQUIA AVE, SUITE 1B
VISALIA, CA 93291
Dermatology
805 W ACEQUIA AVE, SUITE 2C
VISALIA, CA 93291
Physical Therapist
805 W ACEQUIA AVE, SUITE 1C
VISALIA, CA 93291
Clinic/Center (Ambulatory Surgical)
805 W ACEQUIA AVE, SUITE 2-A
VISALIA, CA 93291
Dermatology
805 W ACEQUIA AVE, SUITE 1B
VISALIA, CA 93291
Physical Therapist
805 W ACEQUIA AVE, SUITE 1C
VISALIA, CA 93291
Nurse Practitioner
805 W ACEQUIA AVE, # 2D
VISALIA, CA 93291

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 Kyle Potts's NPI number?

The NPI number for Kyle Potts is 1811965221. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Kyle Potts located?

Kyle Potts practices at 805 W Acequia Ave Suite 2-A, Visalia, CA 93291. The listed phone number is (559) 738-0450.

What is Kyle Potts's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kyle Potts enrolled in Medicare?

Yes. Kyle Potts 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.

When was this NPI record last updated?

The NPPES record for Kyle Potts was last updated on March 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.