Mark Potenza, MD
NPI 1134122096 · Plastic and Reconstructive Surgery Physician · Camillus, NY
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Potenza, MD is a Plastic and Reconstructive Surgery Physician provider in Camillus, NY (NPI 1134122096).
Provider details
- NPI number
- 1134122096
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 167600 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,701 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 515 | $91 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 307 | $129 |
| Removal of Noncancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-2.0 Cm11442 | 275 | $135 |
| Removal of Noncancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm11402 | 176 | $107 |
| Removal of Noncancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-1.0 Cm11441 | 162 | $111 |
| Removal of Cancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-2.0 Cm |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2012-12-20
Frequently asked questions
- What is Mark Potenza's NPI number?
- Mark Potenza's National Provider Identifier (NPI) is 1134122096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Potenza's specialty?
- Mark Potenza is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Potenza located?
- Mark Potenza's practice location on file with NPPES is 5700 W Genesee St, Camillus, NY 13031-3212.
- What is Mark Potenza's phone number?
- The practice phone number listed in the NPPES registry for Mark Potenza is (315) 487-5858.
- Does Mark Potenza accept Medicare?
- Mark Potenza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Potenza's NPI active?
- Yes — Mark Potenza's NPI (1134122096) is active in the NPPES registry as of the last update on 2012-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.