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2026 NPPES data Family Medicine Physician NPI 1295727543 M.D.
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Donna Potts, M.D.

Family Medicine Physician in Jacksonville, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 139 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.5/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$30.2
2 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Donna Potts, M.D. reported a CMS MIPS final score of 86.5/100 - above the 83.5 national average - and filed 1,260 Medicare Part D claims in 2023.

86.5/100
MIPS score · +3 vs avg
1K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Donna Potts, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1295727543), first enumerated 08/22/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,260 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 86.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $30.2 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Donna Potts, M.D.'s individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1295727543 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1295727543
  • ENUM-LEGACY 2005
  • TAX-MEGA 148K Family Medicine
  • MIPS-ABOVE 86.5/100
  • RX-MID 1,260
  • BOOK-MID 8,942 in Florida
  • PHOTO-FINISH Kimberly Mallin · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Donna Potts, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Donna Potts, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Donna Potts, M.D. writes more Part D claims than 38% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 35Donna Potts, M.D., Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Donna Potts, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Donna Potts, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Donna Potts, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/22/2005

NPI 1295727543

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

1,260 63% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

86.5/100 3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Florida

How Family Medicine Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.1%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.2%Student in an Organized Heal…3.8%Physical Therapist3.1%Family Medicine Physician2%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Donna Potts, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
86.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%86.5%
MIPS final score (Family Medicine Physician) - 86.5/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372

Provider Details

NPI 1295727543
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 08/22/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.4968
Final Score
Measured-score avg: 83.5
100
Quality
45.9097
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Donna Potts, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

St Vincents Medical Center Inc
Jacksonville, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Donna Potts, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$30

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Donna Potts, M.D.. To verify Donna Potts, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Donna Potts, M.D. - brand share 11.0%
Family Medicine Physician average

11% brand-name claims vs 88% generic, on 1,260 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,260
Total Claims
$138K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,729
Total Day Supply
80,594
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$112K
Generic Drug Cost
$25K
Opioid Claims
20 (1.6% rate)

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.35
Gender Split
74% female / 26% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Donna Potts, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
 86
Losartan Potassium
 71
Lisinopril
 66
Amlodipine Besylate
 62
Omeprazole
 40
Metformin Hcl
 36
Trazodone Hcl
 30
Hydrochlorothiazide
 26
Levothyroxine Sodium
 25
Cyclobenzaprine Hcl
 24

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Family Medicine Physician in FL → All providers in Florida → Compare specialties →

Family Medicine Physician Overview

How Donna Potts, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Donna Potts, M.D.'s 1,260 claims are below the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Potts, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (86.5 here).

Esther Lubinga 86.5 NY Kimberly Mallin 86.5 SC Monica Kothari 86.5 AR Ray Gibson 86.5 TX

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Paul Sarna Texarkana, TX Clemente Diaz Richwood, WV Jason Johnson Austin, TX Erin Longley Lakewood, WA

Nearby Family Medicine Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Potts.

One of 8,942 Family Medicine Physician providers enrolled in Florida, 5 are shown here.

Dr. Kellie Aarons
MD
Tampa, FL
Dr. Zoilo Abad
MD
Miami, FL
Dr. Flor Abalos Escalona
APRN-FNP
Miami, FL
Dr. Aschanti Abarca Selva
M.D
Naples, FL
Dr. Syed Abbas
DO
Sebring, FL

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Donna Potts, M.D.'s specialty? ▼
Donna Potts, M.D. specializes in Family Medicine Physician and practices in Jacksonville, Florida. Credentials: M.D..
How much does Donna Potts, M.D. prescribe under Medicare Part D? ▼
In 2023, Donna Potts, M.D. wrote 1,260 Medicare Part D claims totaling $138K in drug costs for 139 beneficiaries.
What is Donna Potts, M.D.'s Medicare quality score? ▼
Donna Potts, M.D. has a CMS MIPS Final Score of 86.5/100 (Quality: 100, Cost: 45.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Donna Potts, M.D. located? ▼
Donna Potts, M.D. is located at 2627 RIVERSIDE AVE, Jacksonville, FL, 32204. Phone: (904) 308-7372.
What is Donna Potts, M.D.'s NPI number? ▼
Donna Potts, M.D.'s National Provider Identifier (NPI) is 1295727543, issued on 08/22/2005.
Does Donna Potts, M.D. prescribe more brand-name or generic drugs? ▼
Donna Potts, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $112K in brand drug costs.
Does Donna Potts, M.D. prescribe opioids? ▼
Yes, Donna Potts, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Donna Potts, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Donna Potts, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donna Potts, M.D. accept Medicare? ▼
Donna Potts, M.D. appears in CMS Medicare data with 1,260 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donna Potts, M.D.'s credentials? ▼
Donna Potts, M.D.'s NPI is 1295727543 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.