DR. STEPHANIE LYNN COURSON POTHOVEN (DO) – Urology Physician, NPI 1033230560
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
133 UROLOGY in IA
Provider Addresses for DR. STEPHANIE LYNN COURSON POTHOVEN (DO)
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 643-0400
Fax: (515) 643-0401
Type: Mailing
1350 DES MOINES ST STE 100
DES MOINES, IA 503095507
Phone: (515) 643-0400
Fax: (515) 643-0401
Type: Location
12129 UNIVERSITY AVE STE 200
CLIVE, IA 503258287
Phone: (515) 400-3550
Fax: (515) 400-3551
Type: Mailing
12129 UNIVERSITY AVE STE 100
CLIVE, IA 503258287
Phone: (515) 400-3550
Fax: (515) 400-3551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $2,777.
Total Amount is formed as General ($2,777) + Research ($0) + Ownership ($0) = $2,777.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($1,611).
Total Amount
$2,777
General + Research + Ownership
Payments
48
Total payment records
General Amount
$2,777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,611 |
| COLOPLAST CORP | $352 |
| ABBVIE INC. | $238 |
| Boston Scientific Corporation | $149 |
| KARL STORZ Endoscopy-America | $50 |
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: 2007-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070726000449 | I | Urology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4,750 | 17 | $0 |
| 81003 | Automated urinalysis test | 245 | 179 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 151 | 125 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 96 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 98 | 25 | $0 |
Insurance plans in this area (ZIP 50305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA |
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