JEFFREY D POTTER (M.D.) – Diagnostic Radiology Physician, NPI 1073649653

JEFFREY D POTTER (M.D.) is a healthcare provider. based in Concord, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD11955 (RI). The NPI Number for JEFFREY D POTTER (M.D.) is 1073649653

Main info

Male
24 Years Of Experience
Name
JEFFREY D POTTER (M.D.)
NPI
1073649653
Phone
(401) 867-0221
Address
20 INGHAM LN
Enumeration Date
26 February 2007
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5082105920
Graduation Year
2002 (24 years ago)
PAC ID
6305923624
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20080410000134
Address ID
MA023602237PL46XXXSTXX300

Contacts

Secure Messaging
JPotter@snhrc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness95
Years active:19State licenses:3Other names

242 DIAGNOSTIC RADIOLOGY in RI

Provider Addresses for JEFFREY D POTTER (M.D.)

  • 20 INGHAM LN

    CONCORD, MA 017422657

    Phone: (401) 867-0221

    Type: Mailing

  • 31 BAY LAWN AVE

    WARWICK, RI 028882952

    Phone: (401) 941-6162

    Type: Location

  • 125 Metro Center Blvd Ste 2000

    Warwick, RI 028861785

    Phone: (401) 921-9202

    Fax: (401) 921-9212

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 14 PROSPECT ST

    MILFORD, MA 017573003

    Phone: (508) 847-1190

    Fax: (508) 863-3687

    Type: Location

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 $17,794.

Total Amount is formed as General ($17,794) + Research ($0) + Ownership ($0) = $17,794.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($17,680).

Total Amount

$17,794

General + Research + Ownership

Payments

2

Total payment records

General Amount

$17,794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

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: 2026-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080410000134IDiagnostic RadiologyMATBD
I20210909003150IDiagnostic RadiologyRITBD
I20260213001289IDiagnostic RadiologyNYTBD

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
77067Screening mammography1,6291,629$0
77063Screening 3d breast mammography1,4281,428$0
71046X-ray of chest, 2 views790759$0
71045X-ray of chest, 1 view719625$0
70450Ct scan head or brain without contrast399379$0
View full utilization report →

Insurance plans in this area (ZIP 01742)

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Provider's Procedures

JEFFREY D POTTER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYRI71010X-ray of chest, 1 view, front337279
DIAGNOSTIC RADIOLOGYRI73110X-ray of wrist, minimum of 3 views1313
DIAGNOSTIC RADIOLOGYRI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1313

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: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Nurse PractitionerMA

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Frequently asked questions

What unique ID ties claims to JEFFREY D POTTER (M.D.)?
NPI 1073649653 is assigned to JEFFREY D POTTER (M.D.) under the national enumeration system.
Is JEFFREY D POTTER (M.D.)'s NPI currently valid?
The extract we use shows JEFFREY D POTTER (M.D.) as active.
What kind of provider is JEFFREY D POTTER (M.D.)?
The page reflects Diagnostic Radiology Physician for JEFFREY D POTTER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JEFFREY D POTTER (M.D.)?
The snapshot lists Concord, Massachusetts for JEFFREY D POTTER (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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