Victoria L Potoczak


Address: 3618 S 4th St, Terre Haute, IN 47802-5543
Phone: 8122388887

Victoria L Potoczak (NPI# 1427094911, PAC ID# 4880722149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1427094911
PAC ID by PECOS 4880722149
Professional Enrollment ID I20100506000296
Full Name Victoria L Potoczak
Address 3618 S 4th St
Terre Haute
IN 47802-5543
Phone Number 8122388887
Gender F
Graduation Year 1983
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150046 TERRE HAUTE REGIONAL HOSPITAL

Other Locations

Address Phone Organization
3618 S 4th St, Terre Haute, IN 47802-5543 8122388887

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 3%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 50%
MIPS_EC_131_overall Pain Assessment and Follow-Up 12%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 50%

Organization Information

Office Location

Street Address 3618 S 4TH ST
City TERRE HAUTE
State IN
Zip 47802-5543

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Joseph Y Abdayem Family Medicine Providence Medical Group, LLC 2723 S 7th St L, Terre Haute, IN 47802-3558
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Nawar F Mercho Cardiovascular Disease (cardiology) Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
Henry Johannes Davis Rheumatology Providence Medical Group, LLC 2723 S 7th St A, Terre Haute, IN 47802-3558
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Competitor

Search similar physicians

City TERRE HAUTE
Zip Code 47802
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty TERRE HAUTE + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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