CHARLES R. POTTER (M.D.) – Otolaryngology Physician, NPI 1396839890
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
537 OTOLARYNGOLOGY in OH
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Provider Addresses for CHARLES R. POTTER (M.D.)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636930
Phone: (513) 981-5123
Fax: (513) 981-5015
Type: Mailing
770, West High Street, Lima, Allen County, Ohio, 45801, United States
SUITE 460
LIMA, OH 458013990
Phone: (419) 226-4300
Fax: (419) 226-4305
Type: Location
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 $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Kerecis Limited ($119).
Total Amount
$165
General + Research + Ownership
Payments
3
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $119 |
| Ambu Inc. | $31 |
| GENZYME CORPORATION | $16 |
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: 2025-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090911000095 | I | Otolaryngology | MO | TBD |
| I20151027002056 | I | Otolaryngology | OH | TBD |
| I20251216003698 | I | Otolaryngology | SD | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 80 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 43 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 69210 | Removal of impacted ear wax | 34 | 27 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| P S Y C H I A T R Y | SD | |
| General Surgery | SD | |
| P S Y C H I A T R Y | NE | |
| P S Y C H I A T R Y | SD | |
| - | SD | |
| Qualified Audiologist | SD | |
| Nurse Practitioner | SD | |
| Pain Management, Physical Medicine And Rehabilitation | SD | |
| - | NC |
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