MR. LEE RICHARD POTRATZ (PA-C, ATC) – Surgical Physician Assistant, NPI 1891787131
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for MR. LEE RICHARD POTRATZ (PA-C, ATC)
1233, 34th Street Northwest, Skyline Village Mobile Home Park, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566015112
Phone: (218) 333-5171
Type: Mailing
Sanford Bemidji Medical Center, 1300, Anne Street Northwest, Hillcrest Manor, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566015103
Phone: (218) 751-9746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Sioux Surgical Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sioux Surgical Inc | $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: 2011-02-24
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 |
|---|---|---|---|---|
| I20110224000952 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 88 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 61 | 41 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 56 | 53 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 30 | 30 | $0 |
Insurance plans in this area (ZIP 56601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 59 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| Diagnostic Radiology | MN | |
| N E U R O L O G Y | MN | |
| - | ND | |
| - | MN | |
| O P T O M E T R Y | SD | |
| Nurse Practitioner | ND |
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