Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Wayne Potter, PA-C

Individual provider Physician Assistant · NPI 1255610168

Clinton Wayne Potter, PA-C is a Physician Assistant in Salt Lake City, Utah. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

144 S 500 E
Salt Lake City, UT 84102-1907 Not confirmed with CMS for 11 years — call before visiting
Phone: (801) 463-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1098530 (PA)

Record details

NPI number1255610168
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2011
Last updated in NPPESJanuary 12, 2015

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients88
Services billed 126 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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