Individual provider Active NPI

Stephen Myles Potter, M.D.

  • Ophthalmology Physician
  • Aiken, SC
National Provider Identifier
1982043626
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042.0014108 Issued in VT
Practice address
110 Pepper Hill Way
Aiken, SC 29801-2818
Phone
(803) 642-6060
Fax
(803) 642-0754
NPI assigned
Jun 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TRN# 19923 FL
Cornea and External Diseases Specialist Physician 207WX0120X 35919 SC
Ophthalmology Physician 207W00000X 042.0014108 VT Primary

Addresses

Primary practice location

110 Pepper Hill Way
Aiken, SC 29801-2818

Mailing address

110 Pepper Hill Way
Aiken, SC 29801-2818
Phone (803) 642-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181002003906 VT Practitioner - Ophthalmology 8426273079 Reassigns benefits to 1 organization
I20190806001070 SC Practitioner - Ophthalmology 8426273079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aiken Ophthalmology PCGroup PAC ID 6103885587, 6 clinicians

Practice addresses (Care Compare)

110 Pepper Hill Way
Aiken, SC 29801-2818
Phone (803) 642-6060

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery579
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN# 19923FLMDOphthalmology Physician
042.0014108VTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Aiken Ophthalmology PC CurrentSince Sep 1, 2019 Accepting new patients
Casc Aquisition Inc Past Accepting new patients

Locations

110 Pepper Hill Way
Aiken, SC 29801
Phone (803) 642-6060

536 W Martintown Rd
North Augusta, SC 29841
Phone (803) 510-0007

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Interoperability endpoints

  • Direct secure messaging: smpotter@aiken.ophthalmology.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1982043626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060",
            "fax_number": "803-642-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060",
            "fax_number": "803-642-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "STEPHEN",
        "middle_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN# 19923",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "SC",
            "license": "35919",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042.0014108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.