OrganizationActive
Charles R. Potter, M.D., L.L.C.
NPI 1538254727 · Otolaryngology Physician · Decatur, IL
Provider details
- NPI number
- 1538254727
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Potter, Owner(217) 422-1199
- License
- 036-065056 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1770 E Lake Shore Dr
Suite 306
Decatur, IL 62521-3832
Phone: (217) 422-1199
Fax: (217) 422-1277
Street-level locationGet directions
Mailing address
1770 E Lake Shore Dr
Decatur, IL 62521-3832
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.