Active NPI 1003920877 Individual Practitioner Male Practitioner

Dr. Kirk David Potter , DO

Surgery - Plastic and Reconstructive Surgery • Hays, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Potter, DO is a certified Surgery - Plastic and Reconstructive Surgery practicing in Hays, KS. With approximately 25 years of clinical experience since graduating from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2001, Dr. Potter delivers high-quality medical care to the local community at 3012 BROADWAY AVE.

Dr. Potter is affiliated with Potter Plastic And Reconstructive Surgery Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include professional service for preparation and provision of single-dose vial of allergen, professional service for preparation and provision of, professional service for multiple injections of allergen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3012 Broadway Ave

Hays, KS 676011916

Telephone 7853012250

Fax 7853012270

Associated Practice Facility / Clinic

🏢 Potter Plastic & Reconstructive Surgery, Pa Facility NPI 1215314380

Medicare Profile & Education

Medical School

Kansas City University Of Med & Biosciences, College Of Osteo Med

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Hays, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Hays, KS (36 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potter (25 Years) 25 Yrs

Hays Specialty Average (25.0 Years) 25.0 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
95144 Professional service for preparation and provision of single-dose vial of allergen	5,340	57	$22.00	$13.86
95165 Professional service for preparation and provision of 1 or more antigens	1,063	35	$22.00	$12.21
95117 Professional service for multiple injections of allergen	179	23	$30.00	$10.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	55	$346.00	$155.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$494.00	$184.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$265.00	$105.39
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$174.00	$77.36
17000 Destruction of skin growth	22	13	$157.00	$53.14
96160 Administration and interpretation of patient-focused health risk assessment	16	14	$7.00	$2.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$494.00	$154.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$346.00	$124.47
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2888.00	$698.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95144 Professional service for preparation and provision of single-dose vial of allergen	5,090	56	$22.00	$15.18
95165 Professional service for preparation and provision of 1 or more antigens	1,064	36	$22.00	$13.68
95117 Professional service for multiple injections of allergen	184	25	$30.00	$10.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	52	$346.00	$166.74
17003 Destruction of precancer skin growth, 2-14 growths	57	17	$14.63	$6.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	33	$265.00	$118.74
96160 Administration and interpretation of patient-focused health risk assessment	27	21	$7.00	$2.42
17000 Destruction of skin growth	25	20	$157.00	$51.97
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$174.00	$83.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$494.00	$203.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	14	$346.00	$133.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$103.00	$52.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$494.00	$168.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$392.00	$154.41
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2888.00	$762.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95144 Professional service for preparation and provision of single-dose vial of allergen	3,940	49	$19.08	$15.58
95165 Professional service for preparation and provision of 1 or more antigens	1,189	43	$19.05	$14.36
95117 Professional service for multiple injections of allergen	189	26	$30.00	$10.44
17003 Destruction of precancer skin growth, 2-14 growths	100	19	$13.00	$6.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	39	$346.00	$170.36
99213 Established patient office or other outpatient visit, typically 15 minutes	49	37	$174.00	$85.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	32	$261.70	$120.72
17000 Destruction of skin growth	30	22	$157.00	$56.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$392.00	$157.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$494.00	$172.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$494.00	$207.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	16	$346.00	$137.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$492.00	$185.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$103.00	$52.66
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$174.00	$63.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95144 Professional service for preparation and provision of single-dose vial of allergen	2,600	36	$19.00	$15.24
95165 Professional service for preparation and provision of 1 or more antigens	1,187	43	$19.00	$14.61
95117 Professional service for multiple injections of allergen	166	26	$30.00	$10.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	31	$346.00	$172.03
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$174.00	$86.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	27	$257.00	$95.21
99213 Established patient office or other outpatient visit, typically 15 minutes	40	26	$174.00	$64.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$494.00	$175.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	28	$257.00	$123.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$346.00	$140.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$494.00	$210.09
17003 Destruction of precancer skin growth, 2-14 growths	25	14	$10.92	$2.03
17000 Destruction of skin growth	23	15	$157.00	$43.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$392.00	$153.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$392.00	$129.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$492.00	$189.85
11104 Punch biopsy, first skin growth	14	13	$292.90	$113.55
11104 Punch biopsy, first skin growth	11	11	$292.90	$30.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,289	39	$19.00	$13.47
95144 Professional service for preparation and provision of single-dose vial of allergen	738	22	$19.00	$13.74
95117 Professional service for multiple injections of allergen	115	12	$30.00	$9.69
99213 Established patient office or other outpatient visit, typically 15 minutes	60	50	$174.00	$70.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$392.00	$156.07
99213 Established patient office or other outpatient visit, typically 15 minutes	43	27	$174.00	$48.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	16	$95.00	$37.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$492.00	$196.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$257.00	$101.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$494.00	$193.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$346.00	$136.39
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	24	18	$540.00	$101.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	16	$175.00	$70.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$257.00	$71.16
17000 Destruction of skin growth	20	12	$157.00	$46.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$392.00	$124.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$256.00	$101.71
17000 Destruction of skin growth	18	12	$157.00	$52.15
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	15	$1124.00	$185.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$103.00	$42.74
28820 Amputation of toe at joint between the forefoot and toes	15	11	$1355.00	$252.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$346.00	$107.54
11104 Punch biopsy, first skin growth	13	13	$292.90	$118.27
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$274.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	3,099	41	$19.00	$13.03
95144 Professional service for preparation and provision of single-dose vial of allergen	952	12	$19.00	$13.35
95024 Injection of allergenic extracts into skin for immediate reaction analysis	408	13	$12.00	$7.37
95027 Test for allergy using airborne allergenic extract injected into skin	364	13	$10.00	$4.13
95117 Professional service for multiple injections of allergen	79	18	$30.00	$9.60
99213 Established patient office or other outpatient visit, typically 15 minutes	61	31	$174.00	$48.93
99213 Established patient office or other outpatient visit, typically 15 minutes	54	37	$175.52	$69.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	43	12	$540.00	$140.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	24	$346.00	$106.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	24	$257.00	$75.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	35	$392.00	$155.58
11042 Removal of skin and tissue, 20.0 sq cm or less	28	12	$274.00	$43.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$494.00	$160.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$103.00	$42.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$256.00	$101.90
11104 Punch biopsy, first skin growth	18	18	$292.90	$108.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$392.00	$123.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$494.00	$185.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$103.00	$24.37
17000 Destruction of skin growth	16	11	$157.00	$53.29
17000 Destruction of skin growth	13	13	$157.00	$38.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$257.00	$96.86
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1124.00	$262.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,613	45	$19.02	$11.79
95144 Professional service for preparation and provision of single-dose vial of allergen	670	13	$19.03	$12.10
95027 Test for allergy using airborne allergenic extract injected into skin	603	18	$10.00	$4.04
95024 Injection of allergenic extracts into skin for immediate reaction analysis	376	21	$12.00	$7.20
95117 Professional service for multiple injections of allergen	110	25	$30.00	$9.07
95115 Injection of incremental dosages of allergen	51	12	$25.00	$7.81
17003 Destruction of precancer skin growth, 2-14 growths	45	11	$13.00	$4.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$392.00	$152.37
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$173.17	$67.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$494.00	$187.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$257.00	$99.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$103.00	$40.28
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$174.00	$48.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$392.00	$120.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$256.00	$99.45
17000 Destruction of skin growth	13	12	$157.00	$44.26

Medical Specialties & State Licenses

CMS Verified: 2023-11-28

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License KS 05-33528

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License KS 05-33528

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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License KS 05-33528

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Allergy & Immunology - Allergy

NUCC Taxonomy Code: 207KA0200X

State License KS 05-33528

A physician who specializes in the diagnosis, treatment, and management of allergies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200582300I (KS)

Commercial Insurance / Payer ID Health Partners

34935 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

1613811 (PA)

Commercial Insurance / Payer ID Keystone Ibc

2290955000 (PA)

Commercial Insurance / Payer ID Personal Choice

1613811 (PA)

Commercial Insurance / Payer ID Railroad Medicare

P00189173 (PA)

Hospital & Practice Group Affiliations

Potter Plastic And Reconstructive Surgery Pa

3012 Broadway Ave, Hays, KS 676011916

Phone: 7853012250

Practice Associates & Co-Workers

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

4 Associated Practitioners

Laura Acosta

Nurse Practitioner - Family

NPI 1104704964

Makenna John , PA

Physician Assistant - Surgical

NPI 1154050003

Physician Assistant

Madison Polson , RN

Registered Nurse

NPI 1326966102

Registered Nurse

Shelby Mattke

Nurse Practitioner - Family

NPI 1982385373

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location November 28, 2023

Registered at 3012 BROADWAY AVE, HAYS, KS 676011916 (Tel: 7853012250)

📍

Updated Business Mailing Address November 28, 2023

Registered at 3012 BROADWAY AVE, HAYS, KS 676011916 (Tel: 7853012250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Surgery (License #05-33528 in KS)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2022

Surgery (License #05-33528 in KS)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2018

Allergy & Immunology (License #05-33528 in KS)

✅

NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2016

Registered at 217 E 32ND STREET, HAYS, KS 67601 (Tel: 7853012250)

📍

Updated Business Mailing Address April 04, 2016

Registered at 217 E 32ND STREET, HAYS, KS 67601 (Tel: 7853012250)

👤

Provider Name / Credentials Updated April 04, 2016

Recorded as KIRK POTTER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Surgery (License #05-33528 in KS)

🟢

Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003920877

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: November 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3012 Broadway Ave

Hays, KS 676011916

Phone: 7853012250

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.