CHARLES F POTTER (MD) – Neonatal-Perinatal Medicine Physician, NPI 1023092897
Neonatal-Perinatal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHARLES F POTTER (MD)
129, West Miller Drive, Vintage Estates, Mequon, Ozaukee County, Wisconsin, 53092, United States
MEQUON, WI 530926189
Phone: (262) 825-8984
Fax: (262) 447-7330
Type: Mailing
415, North 9th Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627025317
Phone: (217) 544-6464
Fax: (217) 757-6844
Type: Location
PO BOX 48089
ATHENS, GA 306048089
Phone: (706) 389-3740
Type: Mailing
1230 BAXTER ST
ATHENS, GA 306063712
Phone: (706) 769-0005
Type: Location
2124 14th St
Meridian, MS 393014040
Phone: (601) 553-6000
Fax: (601) 703-0124
Type: Location
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: 2025-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230616003256 | I | Pediatric Medicine | FL | TBD |
| I20240520000215 | I | Pediatric Medicine | GA | TBD |
| I20250414003402 | I | Pediatric Medicine | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53092)
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