DR. KIRK DAVID POTTER (D.O.) – Plastic and Reconstructive Surgery Physician, NPI 1003920877
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS
Provider Addresses for DR. KIRK DAVID POTTER (D.O.)
3012 BROADWAY AVE
HAYS, KS 676011916
Phone: (785) 301-2250
Fax: (785) 301-2270
Type: Location
217, East 32nd Street, Hays, Ellis County, Kansas, 67601, United States
HAYS, KS 67601
Phone: (785) 301-2250
Fax: (785) 301-2270
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Avita Medical Americas, Llc ($38).
Total Amount
$95
General + Research + Ownership
Payments
3
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, Llc | $38 |
| Biosense Webster, Inc. | $37 |
| Mentor Worldwide LLC | $19 |
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: 2008-12-12
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 |
|---|---|---|---|---|
| I20081212000697 | I | Plastic And Reconstructive Surgery | KS | 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 |
|---|---|---|---|---|
| 95144 | Professional service for preparation and provision of single-dose vial of allergen | 5,090 | 56 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,064 | 36 | $0 |
| 95117 | Professional service for multiple injections of allergen | 184 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 86 | 66 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 57 | 17 | $0 |
Insurance plans in this area (ZIP 67601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | KS | 17003 | Destruction of 2-14 skin growths | 60 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Nurse Practitioner | KS |
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