Michael Sterling Potter, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Rolla, MO
NPI 1770748154 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1770748154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2012003496 (MO)
- Practice address
- 1050 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 364-9000
- Fax
- (573) 202-2484
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pcrmc Medical Group Inc
Phelps County Regional Medical Center
Practice addresses (Care Compare)
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
1060 W 10TH St
Rolla, MO 65401-2905
Phone (855) 406-3324
Hospital & facility affiliations
- Phelps Health Home Health and Hospice
- Centerwell Home Health
- Phelps County Regional Medical Center
- Salem Memorial District Hospital
- Texas County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 13 |
| Knee replacement | 31 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 68 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121002000721 | MO | Practitioner - Orthopedic Surgery | 1153507041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcrmc Medical Group, Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| St. Francis Orthopaedic Institute LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 065783 | GA | |
| Orthopaedic Surgery Physician | 207X00000X | 2012003496 | MO | Yes |
Addresses
Primary practice location
1050 W 10TH St
Rolla, MO 65401-2905
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other providers in Rolla, MO
- Allan L Plapp
- Shelbey Dawn Porod
- Scott Portell
- Ethan James Porter
- Matthew Timothy Porter
- Rebekah Jane Pounds
- Preferred Family Healthcare
- Presbyterian Manors, Inc.
- Prorehab PC
- Jonathan Pulsipher
All providers in Rolla, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.