Active NPI
Matthew Alan Potts, DO
- Family Medicine Physician
- Union City, PA
National Provider Identifier
1003483702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS023282
- Practice address
- 101 E High St
Union City, PA 16438-1101 - Phone
- (814) 438-2088
- Fax
- (814) 438-2089
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS023282 | PA | Primary |
Addresses
Primary practice location
101 E High St
Union City, PA 16438-1101
Mailing address
1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607001312 | PA | Practitioner - Family Practice | 4880136647 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corry Memorial Hospital Association
Practice addresses (Care Compare)
101 E High St
Union City, PA 16438-1101
Hospital & facility affiliations
- Lecom Health Corry Memorial Hospital
- Saint Vincent Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corry Memorial Hospital Association | Current | Accepting new patients | |
| Corry Memorial Hospital Association | Current | Accepting new patients | |
| Corry Memorial Hospital Association | Past | Accepting new patients |
Locations
965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641
101 E High St
Union City, PA 16438
Phone (814) 438-2088
Interoperability endpoints
- matthew.potts.1@10044.direct.athenahealth.com
- https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
- https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Corry, PA
- NPI 1124406376
-
- Critical Access Hospital
- Corry, PA
- NPI 1255788014
-
- Critical Access Hospital
- Corry, PA
- NPI 1518411677
-
- Critical Access Hospital
- Corry, PA
- NPI 1841268877
-
- Medicare Defined Swing Bed Hospital Unit
- Corry, PA
- NPI 1851369938
-
- Rural Health Clinic/Center
- Clymer, NY
- NPI 1255922043
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1003483702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LECOM PL",
"city": "ERIE",
"state": "PA",
"postal_code": "165052571",
"telephone_number": "814-868-2529",
"fax_number": "814-868-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E HIGH ST",
"city": "UNION CITY",
"state": "PA",
"postal_code": "164381101",
"telephone_number": "814-438-2088",
"fax_number": "814-438-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS023282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.