BROOKS H POTTER (DPM) – Podiatrist, NPI 1629054580

BROOKS H POTTER (DPM) is a healthcare provider. based in Layton, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 49265400501 (UT). The NPI Number for BROOKS H POTTER (DPM) is 1629054580

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BROOKS H POTTER (DPM)
NPI
1629054580
Phone
(801) 773-4840
Address
2121 N 1700 W
Enumeration Date
21 December 2005
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8017734840
Graduation Year
1999 (27 years ago)
PAC ID
6305868563
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20051230000636
Address ID
UT840418803LA2121X1700300
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

198 PODIATRY in UT

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Provider Addresses for BROOKS H POTTER (DPM)

  • 1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840418803

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Location

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $588.

Total Amount is formed as General ($588) + Research ($0) + Ownership ($0) = $588.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Sanara MedTech Inc. ($248).

Total Amount

$588

General + Research + Ownership

Payments

16

Total payment records

General Amount

$588

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2005-12-30

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
I20051230000636IPodiatryUTTBD

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 minutes12486$0
11721Removal of fingernails or toenails, 6 or more nails11667$0
99212Established patient office or other outpatient visit, 10-19 minutes8265$0
99202New patient office or other outpatient visit, 15-29 minutes7777$0
20550Injection into tendon or ligament6944$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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Provider's Procedures

BROOKS H POTTER (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYUT73630X-ray of foot, minimum of 3 views14897

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: 4284547985View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeUT
Physician AssistantUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Qualified AudiologistUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

What federal number belongs to BROOKS H POTTER (DPM)?
The federal identifier for BROOKS H POTTER (DPM) is NPI 1629054580.
Is BROOKS H POTTER (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BROOKS H POTTER (DPM)'s specialty in plain language?
Clinically, the directory lists BROOKS H POTTER (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is BROOKS H POTTER (DPM)'s primary listing?
We display Layton, Utah because that is what the record indicates for BROOKS H POTTER (DPM).
How can I contact BROOKS H POTTER (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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