JON WARREN POTTER (D.O.) – Gastroenterology Physician, NPI 1093785180
Gastroenterology Physician
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NPPES metrics only — not quality of care.
161 GASTROENTEROLOGY in IA
Provider Addresses for JON WARREN POTTER (D.O.)
915 13th Ave N
Clinton, IA 527325067
Phone: (563) 243-2511
Fax: (563) 243-0817
Type: Location
Oakwood Hills Parkway, Eau Claire, Town of Washington, Eau Claire County, Wisconsin, 54720, United States
EAU CLAIRE, WI 547018888
Phone: (715) 552-7303
Fax: (715) 552-7355
Type: Mailing
4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI 547018888
Phone: (715) 552-7303
Fax: (715) 552-7355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $480.
Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($99).
Total Amount
$480
General + Research + Ownership
Payments
13
Total payment records
General Amount
$480
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-01-24
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 |
|---|---|---|---|---|
| I20080124000034 | I | Gastroenterology | WI | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 145 | 141 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 74 | 72 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 66 | 66 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 43 | 43 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 40 | 38 | $0 |
Insurance plans in this area (ZIP 52732)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 39 | 37 |
| GASTROENTEROLOGY | IA | 45378 | Diagnostic examination of large bowel using an endoscope | 64 | 64 |
| GASTROENTEROLOGY | IA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | WI | |
| G A S T R O E N T E R O L O G Y | WI | |
| Nurse Practitioner | WI | |
| Gastroenterology, Internal Medicine, Gastroenterology | WI | |
| Nurse Practitioner | WI |
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