NPPES file of Aug 9, 2026

Kristina Marie Potanos, MD

Surgery Physician · Herrin, IL

Kristina Marie Potanos, MD is a surgery physician with a practice address in Herrin, Illinois, and NPI 1134393267, issued on Apr 18, 2008. Check the license (Illinois 036141342, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134393267
Name
Kristina Marie Potanos
Credential
MD
Primary taxonomy
Surgery Physician 208600000X
License number
036141342 IL
Self-reported in NPPES; status is on the state search
Practice location
220 S Park Ave FL 3, Herrin, IL 62948
Phone
(618) 942-2002
Enumerated
Apr 18, 2008
Record last updated
Jul 1, 2024
Fax
(618) 351-6497
Medicare enrollment
Enrolled (PECOS I20170616001215); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 220 S Park Ave FL 3

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ellie Bentley, D.O.Surgery Physician1093157315
  2. Brett Dempsey, MDSurgery Physician1659599538

Verify Kristina Marie Potanos in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036141342
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 75.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score63.1
  2. Costout of 100 · 30%45.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Southern Illinois Medical Services NfpHerrin, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kristina Marie Potanos among 1,520 surgery physician records in Illinois

Kristina Marie Potanos, MD is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 42% of them.

  • NPI issued2008 · 42% of these records are older, 52% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated2007 · median 2004 among the 650 with a school on file
  • Record last updated2024 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 surgery physician records list a practice address in Herrin

They are 10 of the 419 NPPES records with a practice address in Herrin, and 1,520 surgery physician records in Illinois.

The 8 surgery physician records with the nearest ZIP codes

  1. Ellie Bentley, D.O.Herrin, IL 629481093157315
  2. Robert Brewer, M.D.Herrin, IL 629481457355315
  3. Brett Dempsey, MDHerrin, IL 629481659599538
  4. Anne Hardy-HenryHerrin, IL 629481508276783
  5. Cyril Kamya, M.DHerrin, IL 629481245783588
  6. Antoni Kos, MDHerrin, IL 629481548205222
  7. Rodney Miller, MDHerrin, IL 629481750382396
  8. Watanachai SujatanondHerrin, IL 629481548344997

Common questions

What is Kristina Marie Potanos, MD's NPI number?

Kristina Marie Potanos, MD's National Provider Identifier (NPI) is 1134393267, issued on Apr 18, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Kristina Marie Potanos, MD located?

The NPPES record lists a practice address at 220 S Park Ave FL 3, Herrin, IL, 62948. Phone: (618) 942-2002. Providers update this record themselves, so call before visiting.

How can I verify Kristina Marie Potanos, MD's license?

NPPES lists Illinois license number 036141342, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Kristina Marie Potanos, MD's MIPS final score?

The 2023 MIPS final score is 75.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.