DR. ALEXANDER V. POTERMIN (M.D.) – Family Medicine Physician, NPI 1407842958

DR. ALEXANDER V. POTERMIN (M.D.) is a healthcare provider. based in Buffalo grove, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 36104917 (IL). The NPI Number for DR. ALEXANDER V. POTERMIN (M.D.) is 1407842958

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER V. POTERMIN (M.D.)
NPI
1407842958
Phone
(847) 354-8086
Address
1120 THOMPSON BLVD
Enumeration Date
21 September 2005
Last Update Date
5 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
1355320458
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20040714000125
Address ID
IL600268001GL2600XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. ALEXANDER V. POTERMIN (M.D.)

  • 1120, Thompson Boulevard, Aptakisic, Buffalo Grove, Illinois, 60089, United States

    BUFFALO GROVE, IL 600891021

    Phone: (847) 354-8086

    Fax: (800) 619-0893

    Type: Mailing

  • 1444 DOWNING PL APT M5

    MUNDELEIN, IL 600604343

    Phone: (847) 354-8086

    Fax: (800) 619-0893

    Type: Mailing

  • 250 MCHENRY RD APT 741

    BUFFALO GROVE, IL 600896898

    Phone: (847) 354-8086

    Fax: (800) 619-0893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-14

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
I20040714000125IFamily PracticeILTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes505242$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes10267$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and8563$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes4629$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow4529$0
View full utilization report →

Insurance plans in this area (ZIP 60089)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. ALEXANDER V. POTERMIN (M.D.) across health systems?
The NPI 1407842958 uniquely identifies DR. ALEXANDER V. POTERMIN (M.D.) in U.S. healthcare data.
Is DR. ALEXANDER V. POTERMIN (M.D.)'s NPI status active today?
Active status means DR. ALEXANDER V. POTERMIN (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. ALEXANDER V. POTERMIN (M.D.)'s listing?
DR. ALEXANDER V. POTERMIN (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ALEXANDER V. POTERMIN (M.D.)?
DR. ALEXANDER V. POTERMIN (M.D.) is associated with Buffalo Grove, Illinois in the same public data insurers reference.
Who maintains DR. ALEXANDER V. POTERMIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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