Matthew Potter, APRN
NPI 1578004305 · Nurse Practitioner · Phelps, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Potter, APRN is a Nurse Practitioner provider in Phelps, KY (NPI 1578004305).
Provider details
- NPI number
- 1578004305
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 3011184 (KY)
Specialties & taxonomies
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
9 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
231 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 193 | $51 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $66 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 16 | $28 |
Typical Medicare-allowed amounts for these services range $28–$66 (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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 122 | 112 |
| Doxycycline Hyclate | 114 | 109 |
| Azithromycin | 82 | 76 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 71 | 64 |
| Prednisone | 56 | 53 |
| Cefdinir | 36 | 35 |
| Oseltamivir Phosphate | 20 | 19 |
| Fluticasone Propionate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$551 across 29 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
- 2017-03-13
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Matthew Potter's NPI number?
- Matthew Potter's National Provider Identifier (NPI) is 1578004305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Potter's specialty?
- Matthew Potter is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Potter located?
- Matthew Potter's practice location on file with NPPES is 7617 Upper Johns Creek Rd, Phelps, KY 41553-8775.
- What is Matthew Potter's phone number?
- The practice phone number listed in the NPPES registry for Matthew Potter is (606) 835-9333.
- Does Matthew Potter accept Medicare?
- Matthew Potter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Potter's NPI active?
- Yes — Matthew Potter's NPI (1578004305) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.