Active NPI 1316032097 Individual Practitioner Male Practitioner

Dr. Eugene L Potesta , MD

Otolaryngology • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Potesta, MD is a certified Otolaryngology practicing in Youngstown, OH. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Potesta delivers high-quality medical care to the local community at 7227 GLENWOOD AVE.

Dr. Potesta accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, professional service for preparation and provision of, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7227 Glenwood Ave

Youngstown, OH 445124853

Telephone 3306292144

Fax 3306292140

Associated Practice Facility / Clinic

🏢 Fifth Avenue Otolaryngologists, Inc. Facility NPI 1760577787

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Youngstown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +10.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Youngstown, OH (468 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potesta (42 Years) 42 Yrs

Youngstown Specialty Average (31.3 Years) 31.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	630	392	$285.00	$65.87
95165 Professional service for preparation and provision of 1 or more antigens	580	20	$47.00	$3.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$352.00	$82.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	54	$177.00	$35.05
31575 Diagnostic exam of voice box using a flexible endoscope	40	32	$402.00	$66.95
92557 Comprehensive hearing and speech recognition test	40	40	$119.00	$30.72
92567 Eardrum testing using ear probe	34	32	$51.00	$10.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$526.00	$135.31
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$228.00	$47.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$401.00	$98.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	649	403	$285.00	$62.96
95165 Professional service for preparation and provision of 1 or more antigens	487	18	$47.00	$3.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$352.00	$80.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	76	$177.00	$34.34
92557 Comprehensive hearing and speech recognition test	78	72	$119.00	$30.47
92567 Eardrum testing using ear probe	62	56	$51.00	$10.38
31575 Diagnostic exam of voice box using a flexible endoscope	58	50	$402.00	$65.29
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$228.00	$46.38
30901 Simple control of nose bleed	11	11	$497.00	$50.69
69210 Removal of impacted ear wax	11	11	$150.00	$31.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	415	298	$80.00	$78.76
95165 Professional service for preparation and provision of 1 or more antigens	254	13	$20.00	$14.09
99213 Established patient office or other outpatient visit, typically 15 minutes	196	177	$266.00	$64.83
95117 Professional service for multiple injections of allergen	173	11	$40.00	$10.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$135.00	$106.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	76	$55.00	$54.61
31575 Diagnostic exam of voice box using a flexible endoscope	43	37	$230.00	$121.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$329.00	$81.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$165.00	$34.75
92557 Comprehensive hearing and speech recognition test	30	30	$85.00	$34.65
69210 Removal of impacted ear wax	25	25	$90.00	$43.72
31575 Diagnostic exam of voice box using a flexible endoscope	24	23	$357.45	$63.53
69210 Removal of impacted ear wax	20	20	$140.00	$30.89
92567 Eardrum testing using ear probe	13	13	$40.00	$14.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$190.00	$163.34
31231 Diagnostic examination of nasal passages using an endoscope	11	11	$225.00	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	647	438	$79.79	$79.37
95024 Injection of allergenic extracts into skin for immediate reaction analysis	278	11	$15.00	$8.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$135.00	$108.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	112	$55.00	$53.88
31575 Diagnostic exam of voice box using a flexible endoscope	50	43	$230.00	$122.23
92557 Comprehensive hearing and speech recognition test	36	35	$85.00	$36.70
95992 Repositioning maneuvers for treatment of vertigo, per day	30	16	$75.00	$43.31
92567 Eardrum testing using ear probe	26	26	$40.00	$15.35
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$90.00	$70.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$190.00	$164.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$225.00	$196.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	603	395	$75.00	$69.74
95024 Injection of allergenic extracts into skin for immediate reaction analysis	327	11	$15.00	$7.31
95165 Professional service for preparation and provision of 1 or more antigens	326	13	$20.00	$11.67
95117 Professional service for multiple injections of allergen	241	12	$40.00	$9.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	197	197	$135.00	$100.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	113	$55.00	$42.04
92557 Comprehensive hearing and speech recognition test	115	104	$85.00	$35.48
92567 Eardrum testing using ear probe	69	65	$40.00	$14.67
31575 Diagnostic exam of voice box using a flexible endoscope	58	48	$230.00	$113.77
95992 Repositioning maneuvers for treatment of vertigo, per day	33	18	$75.00	$42.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$225.00	$184.54
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$90.00	$71.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$190.00	$154.45
92540 Evaluation and testing for balance with recording	17	17	$485.00	$97.55
92537 Test to assess balance during warm and cool irrigation in both ears	17	17	$160.00	$36.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$115.00	$101.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	641	418	$75.00	$68.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	214	214	$135.00	$101.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	126	$55.00	$40.89
92557 Comprehensive hearing and speech recognition test	59	56	$85.00	$33.24
31575 Diagnostic exam of voice box using a flexible endoscope	41	34	$230.00	$105.30
92567 Eardrum testing using ear probe	40	38	$40.00	$13.52
95992 Repositioning maneuvers for treatment of vertigo, per day	38	26	$75.00	$41.61
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$90.00	$71.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$225.00	$191.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	477	339	$75.00	$65.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	253	198	$55.00	$39.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$135.00	$97.39
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$90.00	$67.95
92557 Comprehensive hearing and speech recognition test	42	41	$85.00	$34.16
31575 Diagnostic exam of voice box using a flexible endoscope	35	29	$230.00	$101.06
95992 Repositioning maneuvers for treatment of vertigo, per day	33	23	$75.00	$39.93
92567 Eardrum testing using ear probe	33	32	$40.00	$13.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$225.00	$187.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95024 Injection of allergenic extracts into skin for immediate reaction analysis	388	11	$15.00	$6.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	377	285	$55.00	$39.58
99213 Established patient office or other outpatient visit, typically 15 minutes	319	226	$75.00	$66.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$135.00	$98.32
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$90.00	$68.39
92557 Comprehensive hearing and speech recognition test	59	57	$85.00	$34.91
31575 Diagnostic exam of voice box using a flexible endoscope	38	35	$230.00	$103.04
92567 Eardrum testing using ear probe	37	37	$40.00	$13.29
95992 Repositioning maneuvers for treatment of vertigo, per day	29	14	$75.00	$39.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$225.00	$188.92

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OH 35.059991

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0756534 (OH)

Commercial Insurance / Payer ID Summacare

Z59991

Commercial Insurance / Payer ID Anthem Pin

000000127501 (OH)

Commercial Insurance / Payer ID Uhc Pin

10-0016 (OH)

Commercial Insurance / Payer ID Unison

170476

Commercial Insurance / Payer ID Cigna

1751176006 (OH)

Commercial Insurance / Payer ID Gateway

1507349

Commercial Insurance / Payer ID Keystone Health Plan

177763

Commercial Insurance / Payer ID Caresource

341112079029

Commercial Insurance / Payer ID Unicare

000000127501

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Leah Frederick-Toth , AuD

Audiologist

NPI 1134215924

Doctor of Audiology

Dr. Zachary Geiger , DO

Otolaryngology

NPI 1386145746

Doctor of Osteopathic Medicine (D.O.)

Dr. Ana Massiello , AuD

Audiologist

NPI 1528535259

Doctor of Audiology

Dr. Margo Milliron , AuD

Audiologist

NPI 1770356446

Doctor of Audiology

Dr. Regina Wendel , AuD

Audiologist

NPI 1780774703

Doctor of Audiology

Anastasia Lapikas , PA-C

Physician Assistant

NPI 1811376320

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 21, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2007

Registered at 7227 GLENWOOD AVE, YOUNGSTOWN, OH 445124853 (Tel: 3306292144)

📍

Updated Business Mailing Address August 21, 2007

Registered at 7227 GLENWOOD AVE, YOUNGSTOWN, OH 445124853 (Tel: 3306292144)

👤

Provider Name / Credentials Updated August 21, 2007

Recorded as EUGENE POTESTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2007

Otolaryngology (License #35.059991 in OH)

🟢

Initial NPI Registration & Enumeration October 04, 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: 1316032097

Entity Type:

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

Enumeration Date: October 04, 2006

Last Update: August 21, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7227 Glenwood Ave

Youngstown, OH 445124853

Phone: 3306292144

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.