JEFFERY S POTTER DO
NPI 1851313266
Family Medicine in Pikeville, KY

Q: What is Jeffery Potter's NPI number?

The NPI number for Jeffery Potter is 1851313266. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Jeffery Potter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Potter was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 24, 2006PECOS EnrolledAccepts Medicare Assignment

50 WEDDINGTON BRANCH RD STE B, PIKEVILLE, KY 41501(606) 637-6377 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Apr 17, 2020, Aug 14, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Jeffery S Potter Do NPPES

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

JEFFERY S POTTER DO (NPI 1851313266) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (02805) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1851313266

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFERY S POTTERCredential: DO

Location Address50 WEDDINGTON BRANCH RD STE BPikeville, KY 41501-3296

Mailing Address1709 Ky Route 321 Ste 3Prestonsburg, KY 41653-9097 · (606) 349-7474 · Fax (606) 349-7737

Phone(606) 637-6377

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2001

Enumeration DateJuly 24, 2006

Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1851313266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 02805

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 02805 (KY)

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 02805 (KY)

50 WEDDINGTON BRANCH RD STE B, Pikeville, KY 41501

Open in Google Maps ↗

Secondary Practice Locations 7

Location 123 Willow DrAuxier, KY 41602-9259 · Phone (606) 886-8997

Location 2246 Ky Route 979Harold, KY 41635-9046 · Phone (606) 478-2200

Location 3450 S Mayo TrlPaintsville, KY 41240-1220 · Phone (606) 887-6145

Location 47629 Ky Route 979Grethel, KY 41631-6304 · Phone (606) 587-2200

Location 5940 Parkway DrSalyersville, KY 41465-9251 · Phone (606) 349-5126

Location 6452 Tom Frazier WaySalyersville, KY 41465-7704 · Phone (606) 349-5126

Location 76500 Highway 645, Ste 110INEZ, KY 41224 · Phone (606) 298-3412

Other Identifiers 5

Other3000160WV · Bwc

Medicaid64061328KY

OtherP00274419KY · Rr-medicare

Other000000360776KY · Anthem

Medicaid3004971000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Jeffery S Potter Do 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 ID1355247057

PECOS Enrollment IDI20031212000009

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 Jeffery Potter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Big Sandy Health Care Inc

Same address

Federally Qualified Health Center (FQHC)

50 WEDDINGTON BRANCH RD STE B
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1528787199 (Kentucky)
27 clinicians in this Medicare group

NPI 1831661404 (606) 637-6377

Bhg Lviii, LLC

0.5 mi

Addiction Medicine

255 CHURCH STREET, SUITE #203, #204
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
27 clinicians in this Medicare group

NPI 1144969270 (606) 437-0047

Frontier Medical Associates Of Paintsville Inc

23 mi

Rural Health

713 BROADWAY ST STE 301B
Paintsville, KY 41240

Reassigned Medicare billing, Kentucky enrollment
38 clinicians in this Medicare group

NPI 1568070142 (606) 372-1234

Albaree Health Services LLC

29 mi

Internal Medicine

900 TOM FRAZIER WAY, STE 200
Salyersville, KY 41465

Reassigned Medicare billing, Kentucky enrollment
37 clinicians in this Medicare group

NPI 1730232182 (606) 349-8100

Frontier Behavioral Health Center PLLC

31 mi

Multi-Specialty

838 E MOUNTAIN PKWY
Salyersville, KY 41465

Reassigned Medicare billing, Kentucky enrollment
23 clinicians in this Medicare group

NPI 1295287118 (606) 349-7475

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

Areas of Expertise CMS Part B claims 2

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

59 services36 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

46 services26 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%253 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel

88%91 patients3/55-star benchmark: 100%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

79%154 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%3,613 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

69%2,913 patients3/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

19%90 patients1/55-star benchmark: 98%

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…

81%97 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%861 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

11%468 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

98%468 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%468 patients1/55-star benchmark: 79%

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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers16 claims50 services$5.34 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers14 claims14 services$66.29 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$21.30 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers24 claims24 services$7.81 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$40.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers36 claims36 services$116.05 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 9

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

MS. TAMRA JO TACKETT

Social Worker