ALEX JOHN POLENICK PA-C
NPI 1003397654
Physician Assistant - Medical in Boardman, OH

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment
81.22/100
CMS Quality Rating
1499 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512(330) 758-0577(330) 533-4587 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Dec 7, 2023, Aug 22, 2018 (3 updates tracked since 2018).

About Alex John Polenick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX JOHN POLENICK PA-C (NPI 1003397654) is an individual medical provider in Boardman, Ohio, licensed in Ohio (50.005589RX) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003397654
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameALEX JOHN POLENICKCredential: PA-C
Location Address1499 BOARDMAN CANFIELD RDBoardman, OH 44512-4008
Mailing Address8591 Crossroads DriveYoungstown, OH 44514 · (330) 758-0577 · Fax (330) 758-0466
Fax(330) 533-4587
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 22, 2018
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1003397654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50.005589RX
1499 BOARDMAN CANFIELD RD, Boardman, OH 44512

Secondary Practice Location 1

Location 11695 Niles Cortland Rd NEWarren, OH 44484-1165 · Phone (330) 758-0577

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alex John Polenick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820348170
PECOS Enrollment IDI20180906002315
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
598 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
209 services191 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
118 services118 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
84 services83 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
74 services70 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
41 services41 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.17
Promoting Interoperability99
Improvement Activities40
Cost60.09

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1499 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512
Physician Assistant (Surgical)
1499 BOARDMAN CANFIELD RD
YOUNGSTOWN, OH 44512
Physician Assistant
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Orthopaedic Surgery
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Orthopaedic Surgery
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512
Physician Assistant
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Polenick's NPI number?

The NPI number for Alex Polenick is 1003397654. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Alex Polenick located?

Alex Polenick practices at 1499 Boardman Canfield Rd, Boardman, OH 44512. The listed phone number is (330) 758-0577.

What is Alex Polenick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alex Polenick enrolled in Medicare?

Yes. Alex Polenick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alex Polenick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Alex Polenick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alex Polenick was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.