Jon Warren Potter, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

44787-021 Issued in WI

Practice address

4109 Oakwood Hills Parkway
Eau Claire, WI 54701-8888

Phone

(715) 552-7303

Fax

(715) 552-7355

NPI assigned

Jan 23, 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 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Gastroenterology

Education

Midwestern University, Chicago College of Osteopathic Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Eau Claire Gi Associates SCGroup PAC ID 0244232502, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196
• Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
• Indianhead Medical Ctr Hospital, Shell Lake, WI, CCN 521342
• Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
• Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353

Merit-based Incentive Payment System (MIPS)

Final score

80.58 of 100Reported as group

Quality

55.5

Promoting interoperability

100

Improvement activities

40

Cost

71.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpotter8536@ewd.direct.hshs.org
• Direct secure messaging: jon.potter@cumberland-directmessage.com
• Direct secure messaging: jon.potter@marshfieldclinichealthsystem.cernerdirect.com
• Direct secure messaging: jpotter29606@oakleafmed.gardenplot.direct-ci.com

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.

• Eau Claire Gi Associates SC

  • Specialist
  • Eau Claire, WI
  • NPI 1912078718

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  Medicare reassignment Care Compare group NPD
• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Eau Claire Cancer Center

  • Durable Medical Equipment & Medical Supplies
  • Eau Claire, WI
  • NPI 1558230847
  NPD

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

• Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
  • NPI 1831243757
  Care Compare affiliation
• Indianhead Medical Center Shell Lake, Inc

  • Critical Access Hospital
  • Shell Lake, WI
  • NPI 1568438125
  Care Compare affiliation
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Rural Acute Care Hospital
  • Marshfield, WI
  • NPI 1942749387
  Care Compare affiliation
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Eau Claire

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1952809816
  Care Compare affiliation
• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1093785180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018888",
            "telephone_number": "715-552-7303",
            "fax_number": "715-552-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018888",
            "telephone_number": "715-552-7303",
            "fax_number": "715-552-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 13th Ave N",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527325067",
            "country_code": "US",
            "telephone_number": "563-243-2511",
            "fax_number": "563-243-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JON",
        "middle_name": "WARREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "JP016277",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "04791",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "44787-021",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-132113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4693501",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43546500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1055201131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165661",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpotter8536@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3940 Oakwood Hills Pkwy Ste 2",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547018888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Mae Pospisil, RN
• Christopher Alan Poss, DDS
• Julia Grace Post
• Karen Potaczek, DDS
• Ronald Potter-Efron, MSW
• Kevin Clyde Potter, DDS
• Stephanie E Powell, PT
• Trysten Anton Powell, DC
• Jenna Poziombke
• Julie K Prasher, PT

• Gastroenterology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.