DR. SERGEY SERGEYEVICH POTEPALOV (MD) – Emergency Medicine Physician, NPI 1215255633

DR. SERGEY SERGEYEVICH POTEPALOV (MD) is a healthcare provider. based in Webster, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD.20529 (LA). The NPI Number for DR. SERGEY SERGEYEVICH POTEPALOV (MD) is 1215255633

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SERGEY SERGEYEVICH POTEPALOV (MD)
NPI
1215255633
Phone
(281) 338-3708
Address
500 W MEDICAL CENTER BLVD
Enumeration Date
10 May 2010
Last Update Date
29 October 2015

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
7139487000
Graduation Year
2010 (16 years ago)
PAC ID
1052535002
Group Practice PAC ID
7113258500
Professional Enrollment ID
I20140612000897
Address ID
TX775053959PA4500XSXXX602
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. SERGEY SERGEYEVICH POTEPALOV (MD)

  • 500 W MEDICAL CENTER BLVD

    DEPARTMENT OF EMERGENCY MEDICINE

    WEBSTER, TX 775984220

    Phone: (281) 338-3708

    Fax: (281) 338-3224

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140612000897IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making162156$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9792$0
99284Emergency department visit with moderate level of medical decision making5047$0
99291Critical care, first 30-74 minutes1818$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1414$0
View full utilization report →

Insurance plans in this area (ZIP 77598)

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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: 7113258500View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineOK
Family PracticeWI
Emergency MedicineTX

Reviews

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Frequently asked questions

How do payers reference DR. SERGEY SERGEYEVICH POTEPALOV (MD)?
For DR. SERGEY SERGEYEVICH POTEPALOV (MD), use NPI 1215255633 as the unique 10-digit identifier.
Active or inactive — what applies to DR. SERGEY SERGEYEVICH POTEPALOV (MD)?
You should see DR. SERGEY SERGEYEVICH POTEPALOV (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. SERGEY SERGEYEVICH POTEPALOV (MD)'s focus?
For DR. SERGEY SERGEYEVICH POTEPALOV (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SERGEY SERGEYEVICH POTEPALOV (MD)?
Directory geography for DR. SERGEY SERGEYEVICH POTEPALOV (MD) centers on Webster, Texas.
Does DR. SERGEY SERGEYEVICH POTEPALOV (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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