AUDRA LEIGH POTERUCHA (DO) – Family Medicine Physician, NPI 1033569223
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
Provider Addresses for AUDRA LEIGH POTERUCHA (DO)
1801 Hickman Rd
Des Moines, IA 503141505
Phone: (515) 282-5640
Fax: (515) 282-2332
Type: Location
403 1st St
Maxwell, IA 501617700
Phone: (515) 387-8815
Fax: (515) 387-8817
Type: Location
640 S 19th St
Nevada, IA 502012902
Phone: (515) 382-2111
Fax: (515) 382-7760
Type: Location
100, South 19th Street, Nevada, Story County, Iowa, 50201, United States
NEVADA, IA 502012902
Phone: (515) 382-5413
Fax: (515) 382-7107
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($25).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $25 |
| PFIZER INC. | $21 |
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: 2017-09-21
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 |
|---|---|---|---|---|
| I20170921001597 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 40 | 38 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 26 | 25 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 25 | 16 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 17 | 16 | $0 |
Insurance plans in this area (ZIP 50314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| P O D I A T R Y | IA | |
| Emergency Medicine, Obstetrics/Gynecology, Family Practice | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Physician Assistant | IA |
Reviews
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