LAURIE BETH POTRATZ – Family Medicine Physician, NPI 1265894539

LAURIE BETH POTRATZ is a healthcare provider. based in Union grove, Wisconsin. specializing in FAMILY PRACTICE. They hold a License No. 68177 (WI). The NPI Number for LAURIE BETH POTRATZ is 1265894539

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE BETH POTRATZ
NPI
1265894539
Phone
(262) 548-6903
Address
1120 MAIN ST
Enumeration Date
24 March 2016
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2628784424
Graduation Year
2016 (10 years ago)
PAC ID
6103187844
Group Practice PAC ID
8628980943
Professional Enrollment ID
I20190614000044
Address ID
WI531821328UN1120XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for LAURIE BETH POTRATZ

  • 1120 MAIN ST

    UNION GROVE, WI 531821328

    Phone: (262) 548-6903

    Type: Location

  • 210, North Barstow Street, Waukesha, Waukesha County, Wisconsin, 53186, United States

    SUITE 201

    WAUKESHA, WI 531883771

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: IBSA Pharma Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IBSA Pharma Inc.$20
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: 2019-06-14

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
I20190614000044IFamily PracticeWITBD

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 minutes11781$0
99214Established patient office or other outpatient visit, 30-39 minutes10264$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9292$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 53182)

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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: 8628980943View full group profile
NameSpecialtyState
-WI
Mental Health CounselorWI
-WI
Internal MedicineWI
Hospitalist, Internal MedicineWI
U R O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YWI
-OH
-WI
-WI

Reviews

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Frequently asked questions

Does LAURIE BETH POTRATZ share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAURIE BETH POTRATZ uses 1265894539.
Can I rely on LAURIE BETH POTRATZ being an active provider?
As of the registry snapshot, LAURIE BETH POTRATZ is marked active.
What is LAURIE BETH POTRATZ's specialty?
The listing groups LAURIE BETH POTRATZ with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does LAURIE BETH POTRATZ serve?
LAURIE BETH POTRATZ's listing highlights Union Grove, Wisconsin; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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