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JACOB POTWORA
NPI 1952032575
Physician Assistant in Amherst, NY

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
4949 MAIN ST, AMHERST, NY 14226(716) 573-2411 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Potwora NPPES

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

JACOB POTWORA (NPI 1952032575) is an individual physician assistant in Amherst, New York, licensed in New York (030986) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952032575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB POTWORA
Location Address4949 MAIN STAmherst, NY 14226-4013
Mailing Address18 Navaho PkwyBuffalo, NY 14210-1814
Phone(716) 573-2411
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 23, 2022
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1952032575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 030986
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.
Also ListedDermatologyTaxonomy 207N00000X · License 030986 (NY)
4949 MAIN ST, Amherst, NY 14226
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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

Jacob Potwora 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 ID648712836
PECOS Enrollment IDI20240603003526
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

DR. ELISE CHRISTINE DELUKE M.D.
Dermatology
4949 MAIN ST
AMHERST, NY 14226
Erie County (716) 970-4140
ELISE C DELUKE M.D., PLLC
Dermatology
4949 MAIN ST
AMHERST, NY 14226
Erie County (716) 970-4140

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 Jacob Potwora's NPI number?

The NPI number for Jacob Potwora is 1952032575. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Jacob Potwora located?

Jacob Potwora practices at 4949 Main St, Amherst, NY 14226. The listed phone number is (716) 573-2411.

What is Jacob Potwora's specialty?

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

Is Jacob Potwora enrolled in Medicare?

Yes. Jacob Potwora 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 Jacob Potwora was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.