DARYL K. POTTER (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1295739050

DARYL K. POTTER (D.P.M.) is a healthcare provider. based in Shelbyville, Kentucky. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 000271 (KY). The NPI Number for DARYL K. POTTER (D.P.M.) is 1295739050

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DARYL K. POTTER (D.P.M.)
NPI
1295739050
Phone
(502) 633-7649
Address
619 ASHBOURNE DR
Enumeration Date
9 June 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8129491002
Graduation Year
2001 (25 years ago)
PAC ID
1456338094
Group Practice PAC ID
4385672567
Professional Enrollment ID
I20090120000659
Address ID
IN471504690NE2315XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

214 PODIATRY in KY

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Provider Addresses for DARYL K. POTTER (D.P.M.)

  • 619, Ashbourne Drive, Shelbyville, Shelby County, Kentucky, 40065, United States

    SHELBYVILLE, KY 400657393

    Phone: (502) 633-7649

    Type: Mailing

  • 4612, Outer Loop, Louisville, Jefferson County, Kentucky, 40219, United States

    LOUISVILLE, KY 402193971

    Phone: (502) 968-2233

    Fax: (502) 968-2283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,530.

Total Amount is formed as General ($2,530) + Research ($0) + Ownership ($0) = $2,530.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($512).

Total Amount

$2,530

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,530

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040701001152IPodiatryKYTBD
I20090120000659IPodiatryINTBD

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
11721Removal of fingernails or toenails, 6 or more nails695225$0
99213Established patient office or other outpatient visit, 20-29 minutes359218$0
99203New patient office or other outpatient visit, 30-44 minutes186186$0
99212Established patient office or other outpatient visit, 10-19 minutes143118$0
73630X-ray of foot, minimum of 3 views132105$0
View full utilization report →

Insurance plans in this area (ZIP 40065)

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Provider's Procedures

DARYL K. POTTER (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYKY11042Removal of skin and tissue first 20 sq cm or less2613
PODIATRYKY11720Removal of tissue from 1 to 5 finger or toe nails8256
PODIATRYKY73630X-ray of foot, minimum of 3 views155113

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: 4385672567View full group profile
NameSpecialtyState
P O D I A T R YIN
P O D I A T R YIN
P O D I A T R YKY

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Frequently asked questions

Is there an official ID for DARYL K. POTTER (D.P.M.) in U.S. healthcare records?
The official identifier for DARYL K. POTTER (D.P.M.) is NPI 1295739050.
Is DARYL K. POTTER (D.P.M.) shown as active in public data?
Registry records indicate DARYL K. POTTER (D.P.M.) maintains an active NPI.
What clinical focus is listed for DARYL K. POTTER (D.P.M.)?
At a glance, DARYL K. POTTER (D.P.M.) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DARYL K. POTTER (D.P.M.)?
Travel planning: use Shelbyville, Kentucky as the reference point for DARYL K. POTTER (D.P.M.), then confirm.
Does DARYL K. POTTER (D.P.M.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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