Active NPI 1124004403 Individual Practitioner Male Practitioner

Dr. Michael W Potter , MD

Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Potter, MD is a certified Surgery practicing in Worcester, MA. With approximately 29 years of clinical experience since graduating from University Of Massachusetts Medical School in 1997, Dr. Potter delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Potter is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St
Suite 210

Worcester, MA 016081312

Telephone 5083683190

Fax 5083683985

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Worcester, MA (1077 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potter (29 Years) 29 Yrs

Worcester Specialty Average (23.4 Years) 23.4 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$455.00	$168.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$313.00	$126.39
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$211.00	$90.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$305.00	$112.64
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$261.00	$81.50
49650 Repair of groin hernia using an endoscope	13	13	$1150.00	$430.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$455.00	$167.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$305.00	$114.78
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$211.00	$90.46
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$261.00	$83.46
49650 Repair of groin hernia using an endoscope	20	20	$1265.00	$482.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$313.00	$126.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$187.00	$79.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$303.20	$115.09
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$211.00	$92.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$453.75	$169.05
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$261.00	$101.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$187.00	$72.24
49650 Repair of groin hernia using an endoscope	17	17	$1319.12	$496.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1900.00	$744.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$313.00	$133.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$289.00	$116.17
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$211.00	$95.76
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$261.00	$103.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$445.00	$175.36
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1933.93	$752.06
36415 Insertion of needle into vein for collection of blood sample	13	13	$18.00	$3.00
49650 Repair of groin hernia using an endoscope	13	13	$1110.12	$471.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$289.00	$111.04
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$211.00	$78.99
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$261.00	$106.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$187.00	$75.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$57.00	$24.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$437.00	$172.84
49650 Repair of groin hernia using an endoscope	12	12	$1202.63	$500.40
36415 Insertion of needle into vein for collection of blood sample	11	11	$18.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$289.00	$113.17
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$211.00	$77.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	18	$187.00	$75.23
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$261.00	$104.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$437.00	$171.37
49650 Repair of groin hernia using an endoscope	16	16	$1135.81	$487.33
36415 Insertion of needle into vein for collection of blood sample	15	12	$18.00	$2.94
60500 Removal or exploration of parathyroid glands	11	11	$2432.00	$1027.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$275.00	$112.97
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$201.00	$76.34
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$249.00	$105.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$415.00	$166.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$97.00	$40.68
36415 Insertion of needle into vein for collection of blood sample	15	14	$18.00	$2.94
49650 Repair of groin hernia using an endoscope	12	12	$1158.08	$495.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$270.00	$111.42
99213 Established patient office or other outpatient visit, typically 15 minutes	60	49	$186.20	$74.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	19	$178.00	$73.79
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$249.00	$103.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$411.00	$169.04
36415 Insertion of needle into vein for collection of blood sample	11	11	$18.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2024-05-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 160784

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

3208125 (MA)

Commercial Insurance / Payer ID Medicaid Welfare

3208125

Commercial Insurance / Payer ID Aetna Us Healthcare

7985198

Commercial Insurance / Payer ID Tufts Health Plan

419312

Commercial Insurance / Payer ID Mvp Health Care

784068

Commercial Insurance / Payer ID First Health

2230931

Commercial Insurance / Payer ID Mvp Health Care

784069

Commercial Insurance / Payer ID Blue Care Elect

J22264

Commercial Insurance / Payer ID Private Healthcare Syst.

04 2472266

Commercial Insurance / Payer ID One Health Plan

04 2472266

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Elizabeth Mahanor , MD

Surgery - Vascular Surgery

NPI 1013994755

Doctor of Medicine (M.D.)

Jessica Day , NP-C

Nurse Practitioner

NPI 1083014955

Nurse Practitioner (Certified)

Diane Fruit , NP

Nurse Practitioner

NPI 1205896560

Nurse Practitioner

Dr. Edward Amaral , MD

Surgery

NPI 1235273921

Doctor of Medicine (M.D.)

Dr. John Najjar , MD

Surgery - Vascular Surgery

NPI 1487630935

Doctor of Medicine (M.D.)

Dr. Baltej Maini , MD

Surgery - Vascular Surgery

NPI 1538135611

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 21, 2024

Registered at 5 NEPONSET ST FL CENTER12, WORCESTER, MA 016062714 (Tel: 5083683190)

✅

NPI Profile Active February 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2009

Registered at 123 SUMMER ST, SUITE 210, WORCESTER, MA 016081312 (Tel: 5083683190)

📍

Updated Business Mailing Address February 20, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: 5083683190)

👤

Provider Name / Credentials Updated February 20, 2009

Recorded as MICHAEL POTTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2009

Surgery (License #160784 in MA)

🟢

Initial NPI Registration & Enumeration December 19, 2005

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: 1124004403

Entity Type:

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

Enumeration Date: December 19, 2005

Last Update: May 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Neponset St Fl Center12

Worcester, MA 016062714

Phone: 5083683190

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.