Active NPI 1811965221 Individual Practitioner Male Practitioner

Dr. Kyle B Potts , MD

Surgery • Visalia, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Potts, MD is a certified Surgery practicing in Visalia, CA. With approximately 39 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 1987, Dr. Potts delivers high-quality medical care to the local community at 805 W ACEQUIA AVE.

Dr. Potts accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, complete ultrasound scan of 1 breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

805 W Acequia Ave
Suite 2-A

Visalia, CA 932916162

Telephone 5597380450

Fax 5597380460

Associated Practice Facility / Clinic

🏢 Larry L. Nava, R.p.t., Inc. Facility NPI 1730267485

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Visalia, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +15.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

18 Specialists

Practicing in Visalia, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potts (39 Years) 39 Yrs

Visalia Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	201	$281.00	$129.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$429.00	$166.37
76641 Complete ultrasound scan of 1 breast	72	62	$293.29	$107.88
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	44	43	$1818.00	$514.22
99213 Established patient office or other outpatient visit, typically 15 minutes	32	24	$191.00	$92.22
19301 Partial removal of breast	25	24	$1681.00	$384.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$282.00	$112.99
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	14	14	$2099.00	$650.80
38900 Lymph node imaging during surgery	14	14	$653.00	$129.36
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1133.00	$246.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	167	$281.00	$130.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$429.00	$170.31
99213 Established patient office or other outpatient visit, typically 15 minutes	77	69	$191.00	$92.39
76641 Complete ultrasound scan of 1 breast	58	52	$289.00	$110.56
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	40	37	$1818.00	$529.35
19301 Partial removal of breast	28	27	$1681.00	$386.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$282.00	$111.26
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	20	20	$2099.00	$645.64
38900 Lymph node imaging during surgery	19	19	$621.42	$132.64
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1133.00	$220.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	109	$191.00	$93.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	86	$281.00	$132.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$429.00	$171.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$282.00	$114.29
76641 Complete ultrasound scan of 1 breast	32	30	$307.06	$114.91
19301 Partial removal of breast	26	25	$1810.31	$679.66
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	22	21	$2099.00	$346.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	21	21	$1818.00	$557.77
38900 Lymph node imaging during surgery	16	16	$375.06	$135.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1203.81	$243.46
49650 Repair of groin hernia using an endoscope	13	13	$1796.31	$524.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	109	$191.00	$95.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	88	$281.00	$136.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$429.00	$175.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$282.00	$116.46
76641 Complete ultrasound scan of 1 breast	25	23	$300.56	$109.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	20	$1133.00	$218.92
19301 Partial removal of breast	21	21	$1681.00	$621.40
38900 Lymph node imaging during surgery	21	20	$353.00	$134.17
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	17	16	$2099.00	$381.34
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1818.00	$592.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	88	$281.00	$114.72
99213 Established patient office or other outpatient visit, typically 15 minutes	116	96	$191.00	$78.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$429.00	$172.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$282.00	$113.19
76641 Complete ultrasound scan of 1 breast	24	24	$289.00	$115.94
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	19	19	$1818.00	$659.50
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$1133.00	$268.89
38900 Lymph node imaging during surgery	16	16	$353.00	$142.03
19301 Partial removal of breast	15	13	$1681.00	$660.08
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1846.00	$744.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	163	$191.00	$76.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	89	$281.00	$111.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$429.00	$168.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$282.00	$111.20
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	25	$1818.00	$676.06
19301 Partial removal of breast	22	18	$1681.00	$611.70
38900 Lymph node imaging during surgery	18	18	$353.00	$137.04
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1133.00	$233.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$1068.00	$139.96
10005 Fine needle aspiration of first lesion using ultrasound guidance	15	15	$376.00	$105.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	162	$191.00	$75.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$429.00	$168.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	96	$281.00	$111.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$282.00	$110.92
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	15	15	$1818.00	$714.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1068.00	$129.92
19301 Partial removal of breast	12	12	$1681.00	$652.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	164	$191.00	$75.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$429.00	$168.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	70	$281.00	$111.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$282.00	$111.04
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1818.00	$714.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1846.00	$720.73
38900 Lymph node imaging during surgery	12	12	$353.00	$138.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1133.00	$241.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G64819

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1265651756 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Kevin Cowan , MD

Surgery

NPI 1073045068

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2011

Registered at 805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 932916162 (Tel: 5597380450)

📍

Updated Business Mailing Address March 16, 2011

Registered at 805 W ACEQUIA AVE, SUITE 2-A, VISALIA, CA 932916162 (Tel: 5597380450)

👤

Provider Name / Credentials Updated March 16, 2011

Recorded as KYLE POTTS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2011

Surgery (License #G64819 in CA)

🟢

Initial NPI Registration & Enumeration March 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811965221

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 10, 2006

Last Update: March 16, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

805 W Acequia Ave, Suite 2-A

Visalia, CA 932916162

Phone: 5597380450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.