STAN E POTOCKI (M.D.) – Otolaryngology Physician, NPI 1548209810

STAN E POTOCKI (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. J8719 (TX). The NPI Number for STAN E POTOCKI (M.D.) is 1548209810

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
STAN E POTOCKI (M.D.)
NPI
1548209810
Phone
(806) 792-5331
Address
3621 22ND ST
Enumeration Date
5 June 2006
Last Update Date
23 June 2009

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067925331
Graduation Year
1994 (32 years ago)
PAC ID
2860496833
Group Practice PAC ID
3779587746
Professional Enrollment ID
I20060905000524
Address ID
TX794101148LU3802XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for STAN E POTOCKI (M.D.)

  • 3621, 22nd Street, Lubbock, Lubbock County, Texas, 79410, United States

    STE 300

    LUBBOCK, TX 794101301

    Phone: (806) 792-5331

    Fax: (806) 792-9417

    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)

CMS reports 14 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Integra LifeSciences Corporation ($122).

Total Amount

$393

General + Research + Ownership

Payments

14

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

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: 2006-09-05

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
I20060905000524IOtolaryngologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes142109$0
69210Removal of impacted ear wax10356$0
92557Comprehensive hearing and speech recognition test7871$0
99212Established patient office or other outpatient visit, 10-19 minutes7461$0
31231Diagnostic exam of nasal passages using an endoscope6649$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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Provider's Procedures

STAN E POTOCKI (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX92567Eardrum testing using ear probe3531

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: 3779587746View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX

Reviews

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Frequently asked questions

What identifier follows STAN E POTOCKI (M.D.) across health systems?
The NPI 1548209810 uniquely identifies STAN E POTOCKI (M.D.) in U.S. healthcare data.
Does the public listing show STAN E POTOCKI (M.D.) as active?
STAN E POTOCKI (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret STAN E POTOCKI (M.D.)'s specialty?
The extract shows Otolaryngology Physician for STAN E POTOCKI (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to STAN E POTOCKI (M.D.)?
The directory associates STAN E POTOCKI (M.D.) with Lubbock, Texas. Check all listed addresses for suites or satellite offices.
Who maintains STAN E POTOCKI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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