KATHRYN POTTER (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1154740793

KATHRYN POTTER (M.D.) is a healthcare provider. based in Gainesville, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 82710 (GA). The NPI Number for KATHRYN POTTER (M.D.) is 1154740793

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN POTTER (M.D.)
NPI
1154740793
Phone
(352) 594-1925
Address
4037 NW 86th Ter
Enumeration Date
10 April 2014
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2014 (12 years ago)
PAC ID
9931327525
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190909001732
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for KATHRYN POTTER (M.D.)

  • 4037 NW 86th Ter

    Gainesville, FL 326069277

    Phone: (352) 594-1925

    Type: Location

  • 1120 15TH ST STE BI1056

    AUGUSTA, GA 309120004

    Phone: (706) 721-3813

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 30912

    Phone: (706) 721-8623

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,728.

Total Amount is formed as General ($2,728) + Research ($0) + Ownership ($0) = $2,728.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($424).

Total Amount

$2,728

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,728

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2020-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190909001732IDermatologyGATBD
I20200210001558IDermatologySCTBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks509393$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks223158$0
17003Destruction of precancer skin growth, 2-14 growths21563$0
99213Established patient office or other outpatient visit, 20-29 minutes203166$0
99212Established patient office or other outpatient visit, 10-19 minutes147131$0
View full utilization report →

Insurance plans in this area (ZIP 32606)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Does KATHRYN POTTER (M.D.) have a public NPI I can cite?
Public records show KATHRYN POTTER (M.D.) under NPI 1154740793.
Quick check: is KATHRYN POTTER (M.D.) active?
Public NPPES data shows KATHRYN POTTER (M.D.) with an active NPI status right now.
What services align with KATHRYN POTTER (M.D.)'s listing?
KATHRYN POTTER (M.D.)'s public classification highlights MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHRYN POTTER (M.D.)?
KATHRYN POTTER (M.D.) is associated with Gainesville, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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