Kirk David Potter, D.O.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

05-33528 Issued in KS

Practice address

3012 Broadway Ave
Hays, KS 67601-1916

Phone

(785) 301-2250

Fax

(785) 301-2270

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery, Hand Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potter Plastic and Reconstructive Surgery PAGroup PAC ID 9032423009, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell Regional Hospital Hospital, Russell, KS, CCN 171350
• Hays Medical Center Hospital, Hays, KS, CCN 170013
• Rush County Memorial Hospital Hospital, La Crosse, KS, CCN 170781
• Rooks County Health Center Hospital, Plainville, KS, CCN 171311
• Ness County Hospital District #2 Hospital, Ness City, KS, CCN 171336

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFBEAA/Endpoint/AFBEAA

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.

• Potter Plastic & Reconstructive Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Hays, KS
  • NPI 1215314380
  Medicare reassignment Care Compare group Authorized official
• Nazareth Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1124023015
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hays Medical Center Inc

  • General Acute Care Hospital
  • Hays, KS
  • NPI 1881697043
  Care Compare affiliation
• Ness County Hospital District #2

  • Critical Access Hospital
  • Ness City, KS
  • NPI 1457452898
  Care Compare affiliation
• Rooks County Health Center

  • Critical Access Hospital
  • Plainville, KS
  • NPI 1649278854
  Care Compare affiliation
• Rush County Memorial Hospital

  • Rural Acute Care Hospital
  • La Crosse, KS
  • NPI 1841240959
  Care Compare affiliation
• West Central Kansas Association Inc.

  • General Acute Care Hospital
  • Russell, KS
  • NPI 1417939729
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1003920877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BROADWAY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011916",
            "telephone_number": "785-301-2250",
            "fax_number": "785-301-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 BROADWAY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011916",
            "telephone_number": "785-301-2250",
            "fax_number": "785-301-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KIRK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "05-33528",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "05-33528",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "05-33528",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "KS",
            "license": "05-33528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "34935",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1613811",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "2290955000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200582300I",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1613811",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189173",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Poland
• Madison Polson, RN
• Michelle J Pope, MD
• Karmen Porter
• Potter Plastic & Reconstructive Surgery, PA
• Chelsea Powell, M.D.
• Sarah Powers, APRN
• Babu Prasad, MD
• Cathryn M. Preisner, DNP
• Professional Home Health Services Inc.

• Plastic and Reconstructive Surgery Physician in Hays, KS
• Providers in Hays, KS by specialty
• Plastic and Reconstructive Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.

Verify at the official NPI Registry.