JEROME POTOZKIN (MD) – Dermatology Physician, NPI 1184635195

JEROME POTOZKIN (MD) is a healthcare provider. based in Danville, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. G73505 (CA). The NPI Number for JEROME POTOZKIN (MD) is 1184635195

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
JEROME POTOZKIN (MD)
NPI
1184635195
Phone
(925) 838-4900
Address
600 SAN RAMON VALLEY BLVD
Enumeration Date
11 August 2006
Last Update Date
20 December 2012

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9258384900
Graduation Year
1988 (38 years ago)
PAC ID
3971792136
Group Practice PAC ID
4981893146
Professional Enrollment ID
I20110104001171
Address ID
CA945264021DA600XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for JEROME POTOZKIN (MD)

  • 600, San Ramon Valley Boulevard, Danville, Contra Costa County, California, 94526, United States

    SUITE 102

    DANVILLE, CA 945264014

    Phone: (925) 838-4900

    Fax: (925) 838-4920

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,615.

Total Amount is formed as General ($1,615) + Research ($0) + Ownership ($0) = $1,615.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,188).

Total Amount

$1,615

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,615

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110104001171IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,962283$0
99213Established patient office or other outpatient visit, 20-29 minutes837538$0
17000Destruction of precancer skin growth, 1 growth523349$0
99212Established patient office or other outpatient visit, 10-19 minutes495313$0
11102Biopsy of related skin growth, first growth254210$0
View full utilization report →

Insurance plans in this area (ZIP 94526)

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Provider's Procedures

JEROME POTOZKIN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue191115

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981893146View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Does JEROME POTOZKIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEROME POTOZKIN (MD) uses 1184635195.
Does the file indicate JEROME POTOZKIN (MD) is practicing under active NPI?
Directory data currently reports JEROME POTOZKIN (MD) as active.
What is JEROME POTOZKIN (MD) best known for clinically?
Directory data describes JEROME POTOZKIN (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does JEROME POTOZKIN (MD) list a practice location?
Patients near Danville, California may find JEROME POTOZKIN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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