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TYLER J POTTER D.D.S.
NPI 1992749402
Dentist - Oral and Maxillofacial Surgery in Greenwood, IN

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
1630 W SMITH VALLEY RD, GREENWOOD, IN 46142(317) 882-3370(317) 882-2964 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler J Potter D.d.s. NPPES

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

TYLER J POTTER D.D.S. (NPI 1992749402) is an individual oral and maxillofacial surgery provider in Greenwood, Indiana, licensed in Indiana (12010184A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Dentistry (1999).

NPPES Registry Identity

NPI1992749402
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTYLER J POTTERCredential: D.D.S.
Location Address1630 W SMITH VALLEY RDGreenwood, IN 46142-1550
Mailing Address10972 Allisonville Rd, Suite 110Fishers, IN 46038-2637 · (317) 913-2363 · Fax (317) 913-2360
Phone(317) 882-3370
Fax(317) 882-2964
Sole ProprietorNo
Medical School CMSIndiana University School Of DentistryGraduated 1999
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 31, 2012
✔ NPI 1992749402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12010184A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1630 W SMITH VALLEY RD, Greenwood, IN 46142
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Other Identifiers 3

Medicare UPINU96642IN
Medicare ID-Type Unspecified268030OIN
Medicaid200449320IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tyler J Potter D.d.s. 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 ID8224035191
PECOS Enrollment IDI20100812000888
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 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. JOHN W PRUITT D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
1630 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 882-3370

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 Tyler Potter's NPI number?

The NPI number for Tyler Potter is 1992749402. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Tyler Potter located?

Tyler Potter practices at 1630 W Smith Valley Rd, Greenwood, IN 46142. The listed phone number is (317) 882-3370.

What is Tyler Potter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tyler Potter enrolled in Medicare?

Yes. Tyler Potter 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 Tyler Potter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Tyler Potter 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 Tyler Potter was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.