Scott Edward Potenta, MD, PHD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2018-00043 Issued in NC

Practice address

2900 Daggett Ave
Klamath Falls, OR 97601-7101

Phone

(541) 884-1317

Fax

(541) 274-4395

NPI assigned

Jun 16, 2011

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NC, OR, FL4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Harvard Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians

Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment Care Compare group NPD
• Florida Radiology Imaging at Lake Mary, LLC

  dba AdventHealth Imaging

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1740256494
  Medicare reassignment Care Compare group NPD
• Raleigh Radiology Wakemed Imaging, LLC

  • Diagnostic Radiology Physician
  • Wake Forest, NC
  • NPI 1821694381
  Medicare reassignment Care Compare group
• Raleigh Radiology, LLC

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1952527343
  Medicare reassignment Care Compare group
• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group Radiology

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1073785044
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• North Shore Radiological Associates, Inc.

  • Diagnostic Radiology Physician
  • Woburn, MA
  • NPI 1932164522
  Medicare reassignment NPD
• Raleigh Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1811920101
  Medicare reassignment
• Sky Lakes Medical Center Inc

  dba Sky Lakes Specialty Pharmacy

  • Community/Retail Pharmacy
  • Klamath Falls, OR
  • NPI 1003654625
  NPD
• Adventhealth Imaging Training Center

  • Clinic/Center
  • Orlando, FL
  • NPI 1649916594
  NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD

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

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1073808101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017101",
            "telephone_number": "541-205-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017101",
            "telephone_number": "541-884-1317",
            "fax_number": "541-274-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENTA",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD190554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2018-00043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenda M. Plate, LPC
• Kayla Lynn Pliska, PHARMD
• Tina Polley
• Rebecca Lea Pollock, RN
• Michol Polson, LMFT
• Cynthia R Potter, BSW
• Abby Danielle Poulson, PA
• Kelli Rai Powell
• Vivian Powers, RN
• Shawnda Lee Powless

• Diagnostic Radiology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.