Mark K. Potter, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G86920 Issued in CA

Practice address

1127 Pope St
Suite 106
Saint Helena, CA 94574-1280

Phone

(707) 967-1970

Fax

(707) 967-1972

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Helena Hospital

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Medicare reassignment NPD
• St. Helena Hospital

  • Psychiatric Hospital
  • Vallejo, CA
  • NPI 1851381990
  NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1689640955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 POPE ST",
            "address_2": "SUITE 106",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741280",
            "telephone_number": "707-967-1970",
            "fax_number": "707-967-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 POPE ST",
            "address_2": "SUITE 106",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741280",
            "telephone_number": "707-967-1970",
            "fax_number": "707-967-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MARK",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G86920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Perry, MD
• Calvin Pham
• Sharon Phillips, NP
• Carolyn Marie Pierce, NP
• Aurina Gek Hong Poh Matacio, DDS
• Steven R. Priebe, PH.D.
• Rhonda Marie Provost, CRNA
• PSR Wellness LLC
• PSR Wellness LLC
• Darrell B. Quirici, D.D.S.

• Surgery Physician in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.