Heather Potter, MD
NPI 1013983584 · Ophthalmology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Potter, MD is a Ophthalmology Physician provider in Madison, WI (NPI 1013983584).
Provider details
- NPI number
- 1013983584
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 45451 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,396 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 319 | $93 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 264 | $15 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 248 | $29 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 243 | $11 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 220 | $501 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Moxifloxacin Hclbrand: Moxifloxacin | 358 | 224 |
| Prednisolone Acetate | 291 | 222 |
| Latanoprost | 198 | 51 |
| Timolol Maleate | 65 | 19 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 52 | 13 |
| Cyclosporine | 44 | 14 |
| Ketorolac Tromethamine | 38 | 26 |
| Nepafenac |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Frequently asked questions
- What is Heather Potter's NPI number?
- Heather Potter's National Provider Identifier (NPI) is 1013983584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Potter's specialty?
- Heather Potter is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Potter located?
- Heather Potter's practice location on file with NPPES is 2880 University Ave, Madison, WI 53705.
- What is Heather Potter's phone number?
- The practice phone number listed in the NPPES registry for Heather Potter is (608) 263-7171.
- Does Heather Potter accept Medicare?
- Heather Potter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Potter's NPI active?
- Yes — Heather Potter's NPI (1013983584) is active in the NPPES registry as of the last update on 2021-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.