JON WARREN POTTER D.O. NPI 1093785180

NPI Information

  • NPI: 1093785180
  • Provider Name: JON WARREN POTTER, D.O.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4109 OAKWOOD HILLS PARKWAY
    EAU CLAIRE, WI
    ZIP 54701
  • Phone: (715) 552-7303

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NPI Details

Jon Warren Potter, D.O. is a gastroenterology internal medicine in Eau Claire, WI with 28 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Jon Warren Potter, D.O. NPI is 1093785180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1998

The provider's business location address is:

4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI
ZIP 54701-888
Phone: (715) 552-7303
Fax: (715) 552-7355

The NPI 1093785180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Incision of pancreatic outlet using a flexible endoscope (HCPCS:43262)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 5/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyJP016277MICHIGANNo
2207RG0100XInternal MedicineGastroenterology04791IOWANo
3207RG0100XInternal MedicineGastroenterology44787-021WISCONSINYes
4207RG0100XInternal MedicineGastroenterology036-132113ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14693501MEDICAIDMICHIGAN
243546500MEDICAIDWISCONSIN
31055201131OTHERMICHIGANBLUE CROSS BLUE SHIELD
4P00165661OTHERMICHIGANRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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