Monika Potter, PA
NPI 1174094999 · Physician Assistant · Lexington, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monika Potter, PA is a Physician Assistant provider in Lexington, KY (NPI 1174094999).
Provider details
- NPI number
- 1174094999
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA2414 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
90 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 | 38 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $71 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $126 |
Typical Medicare-allowed amounts for these services range $71–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 63 | 63 |
| Omeprazole | 62 | 24 |
| Pantoprazole Sodium | 57 | 17 |
| Dicyclomine Hcl | 50 | 21 |
| Linaclotidebrand: Linzess | 44 | 15 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 36 | 36 |
| Colestipol Hcl | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$521 across 27 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
Additional practice locations (3)
- 160 N Eagle Creek Dr Ste 202Lexington, KY 40509-2125Phone: (859) 263-0022Fax: (859) 263-4666
- 1401 Harrodsburg Rd Ste A100Lexington, KY 40504-3746Phone: (859) 258-4271Fax: (859) 258-4296
- 227 Falcon Dr Ste 104Mt Sterling, KY 40353-9792Phone: (859) 497-5459Fax: (859) 497-5470
Registry dates
- Enumerated
- 2018-12-06
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Monika Potter's NPI number?
- Monika Potter's National Provider Identifier (NPI) is 1174094999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monika Potter's specialty?
- Monika Potter is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monika Potter located?
- Monika Potter's practice location on file with NPPES is 740 S Limestone Ste D201, Lexington, KY 40536-9792.
- What is Monika Potter's phone number?
- The practice phone number listed in the NPPES registry for Monika Potter is (859) 323-0079.
- Does Monika Potter accept Medicare?
- Monika Potter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monika Potter's NPI active?
- Yes — Monika Potter's NPI (1174094999) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.