ANGELO ALGAS POTENCIANO M.D.
NPI 1598798308
Psychiatry & Neurology - Addiction Psychiatry in Albany, NY


Quality Rating: 77.91 out of 100 score

NPI Status: Active since July 08, 2006

Contact Information

315 S MANNING BLVD
3-CUSACK RM 3503
ALBANY, NY
ZIP 12208
Phone: (518) 525-1304

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  • Individual
  • Male
  • Years of Experience 37
  • Psychiatry & Neurology
  • Addiction Psychiatry
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANGELO POTENCIANO

This page provides the complete NPI Profile along with additional information for Angelo Potenciano, a provider established in Albany, New York with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1598798308 assigned on July 2006. The practitioner's primary taxonomy code is 2084P0802X with license number 224873 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1598798308
Provider Name
ANGELO ALGAS POTENCIANO M.D.
Gender
Male
Entity Type
Individual
Location Address
315 S MANNING BLVD 3-CUSACK RM 3503 ALBANY, NY 12208
Location Phone
(518) 525-1304
Mailing Address
315 S MANNING BLVD 3-CUSACK RM 3503 ALBANY, NY 12208
Mailing Phone
(518) 525-1304
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
07-08-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Psychiatry

Taxonomy Code
2084P0802X
Type
Allopathic & Osteopathic Physicians
License No.
224873
License State
NY
Taxonomy Description
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10084930OTHER (01)NYCDPHP
4144957OTHER (01)NYMVP

Medicare Participation & PECOS Enrollment Status

Angelo Potenciano is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Angelo Potenciano is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658468798

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071106000378

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 69 times for 26 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 309 times for 89 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 66 times for 40 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.91, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.91 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 74.05

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 79

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 66.01

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 66.01

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Angelo Potenciano is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALBANY MEDICAL CENTER HOSPITAL43 NEW SCOTLAND AVENUE, MAIL CODE 34
ALBANY, NY 12208
(518) 262-2400Acute Care Hospitals

Reviews for ANGELO ALGAS POTENCIANO M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598798308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881491630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 9 + 1 + 6 + 3 + 0 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1598798308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225039787DR. PATRICIA A BELAIR MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)315 S MANNING BLVD MAPLEWOOD PATHOLOGY
ALBANY, NY 12208
(518) 525-1474
1134120694DR. JEFFREY D HUBBARD MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)315 S MANNING BLVD MAPLEWOOD PATHOLOGY
ALBANY, NY 12208
(518) 525-1474
1225039415DR. BEIQING LIU MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)315 S MANNING BLVD MAPLEWOOD PATHOLOGY
ALBANY, NY 12208
(518) 525-1474
1124020086DR. RUSSEL E NEWKIRK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)315 S MANNING BLVD MAPLEWOOD PATHOLOGY
ALBANY, NY 12208
(518) 525-1474
1316949027 CAROL J MULLER ANP-C
Individual
Nurse Practitioner (Adult Health)315 S MANNING BLVD 6 CUSACK
ALBANY, NY 12208
(518) 525-8600
1184626863 JOHN W MORRIS M.D.
Individual
Internal Medicine315 S MANNING BLVD 6 CUSACK
ALBANY, NY 12208
(518) 525-8600
1396747796 CYRIL C OBI M.D.
Individual
Internal Medicine315 S MANNING BLVD 6 CUSACK
ALBANY, NY 12208
(518) 525-8600
1437141694PETER R MAGGIORE MD PC
Organization
Internal Medicine (Infectious Disease)315 S MANNING BLVD SUITE 250
ALBANY, NY 12208
(518) 446-1162
1952393175DR. DAVID A ELLIS M.D.
Individual
Radiology (Diagnostic Radiology)315 S MANNING BLVD MEDICAL IMAGING DEPARTMENT
ALBANY, NY 12208
(518) 525-1852
1821081076DR. JEFFREY D KENNICUTT PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)315 S MANNING BLVD ST PETERS HOSPITAL PHARMACY DEPARTMENT
ALBANY, NY 12208
(518) 525-1266
1245217009DR. SUSAN C. FERRARY M.D.
Individual
Internal Medicine315 S MANNING BLVD 6 CUSACK - PRIME CARE HOSPITALIST PROGRAM
ALBANY, NY 12208
(518) 525-8600
1114999422DR. BRADLEY GORNSTEIN M.D.
Individual
Pathology (Cytopathology)315 S MANNING BLVD ST. PETER'S HOSPITAL
ALBANY, NY 12208
(518) 525-1550
1710944129 KAREN JEAN NARKEWICZ MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)315 S MANNING BLVD ST. PETER'S HOSPITAL
ALBANY, NY 12208
(518) 525-6560
1740248707 ALBERT L BARTOLETTI MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)315 S MANNING BLVD ST. PETER'S HOSPITAL
ALBANY, NY 12208
(518) 525-6560
1962455220 JOHN R. BERGIN PA
Individual
Physician Assistant (Surgical)315 S MANNING BLVD ST PETER'S HOSPITAL
ALBANY, NY 12208
(518) 525-1550
1831138882 FREDERICK BRYANT ABBUHL MD
Individual
Emergency Medicine315 S MANNING BLVD @ST. PETERS HOSPITAL ER DEPT.
ALBANY, NY 12208
(518) 383-5450
1093757189 KIMBERLY MARIE MICHELINI LCSW-R
Individual
Social Worker (Clinical)315 S MANNING BLVD ST. PETER'S HOSPITAL CASE MANAGEMENT DEPT.
ALBANY, NY 12208
(518) 525-1364
1396781498 STANLEY W DOCYK MD
Individual
Emergency Medicine315 S MANNING BLVD @ ST. PETER'S HOSPITAL ER DEPT
ALBANY, NY 12208
(518) 525-1550
1235165374ALBANY EMERGENCY MEDICINE ASSOCIATES, PC
Organization
Emergency Medicine315 S MANNING BLVD @ ST. PETER'S HOSPITAL ER DEPT.
ALBANY, NY 12208
(518) 383-5450
1700812351 LOTHAR STRACKE MD
Individual
Emergency Medicine315 S MANNING BLVD @ ST. PETER'S HOSPITAL ER DEPT.
ALBANY, NY 12208
(518) 525-1324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598798308, enumerated in the NPI registry as an "individual" on July 08, 2006

The provider is located at 315 S Manning Blvd 3-cusack Rm 3503 Albany, Ny 12208 and the phone number is (518) 525-1304

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0802X with a focus in Addiction Psychiatry

The provider has more than 37 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.

The practitioner is affiliated to the following hospital(s): ALBANY MEDICAL CENTER HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.