DR. JASON K POTTER (M.D., D.D.S.) – Specialist, NPI 1467449207

DR. JASON K POTTER (M.D., D.D.S.) is a healthcare provider. based in Southlake, Texas. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D., D.D.S.. They hold a License No. MD25735 (OR). The NPI Number for DR. JASON K POTTER (M.D., D.D.S.) is 1467449207

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON K POTTER (M.D., D.D.S.)
NPI
1467449207
Phone
(214) 930-6588
Address
PO BOX 93982
Enumeration Date
5 October 2005
Last Update Date
22 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2145401420
Graduation Year
2005 (21 years ago)
PAC ID
6507898962
Group Practice PAC ID
2466511688
Professional Enrollment ID
I20081103000559
Address ID
TX752315956DA9101XEXPY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

98 MAXILLOFACIAL SURGERY in TX

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Provider Addresses for DR. JASON K POTTER (M.D., D.D.S.)

  • PO BOX 93982

    SOUTHLAKE, TX 760920119

    Phone: (214) 930-6588

    Type: Mailing

  • 8220, Walnut Hill Lane, Vickery Meadows PID, Dallas, Dallas County, Texas, 75231, United States

    SUITE 206

    DALLAS, TX 752314427

    Phone: (214) 930-6588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,694.

Total Amount is formed as General ($1,694) + Research ($0) + Ownership ($0) = $1,694.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: ABBVIE INC. ($453).

Total Amount

$1,694

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

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: 2008-11-03

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
I20081103000559IPlastic And Reconstructive SurgeryTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3926$0
99205New patient office or other outpatient visit, 60-74 minutes1818$0
19371Removal of capsule around breast implant1212$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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: 2466511688View full group profile
NameSpecialtyState
Physician AssistantTX

Reviews

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Frequently asked questions

Does DR. JASON K POTTER (M.D., D.D.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JASON K POTTER (M.D., D.D.S.) uses 1467449207.
Is DR. JASON K POTTER (M.D., D.D.S.) still practicing?
DR. JASON K POTTER (M.D., D.D.S.) is currently listed as active in the public NPI registry.
What is DR. JASON K POTTER (M.D., D.D.S.) best known for clinically?
Directory data describes DR. JASON K POTTER (M.D., D.D.S.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JASON K POTTER (M.D., D.D.S.) on a map?
Expect Southlake, Texas as a primary anchor for DR. JASON K POTTER (M.D., D.D.S.) unless the record lists multiple sites.
Why does DR. JASON K POTTER (M.D., D.D.S.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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