DR. SOTIR POLENA MD
NPI 1023206505
Internal Medicine - Interventional Cardiology in Huntington, NY

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
172 E MAIN ST, HUNTINGTON, NY 11743(631) 385-0022(631) 385-0896 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2020, Mar 24, 2016 (2 updates tracked since 2016).

About Dr. Sotir Polena Md NPPES

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

DR. SOTIR POLENA MD (NPI 1023206505) is an individual interventional cardiology provider in Huntington, New York, licensed in New York (243927) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1023206505
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SOTIR POLENACredential: MD
Location Address172 E MAIN STHuntington, NY 11743-2948
Mailing Address172 E Main StHuntington, NY 11743-2948 · (631) 385-0022 · Fax (631) 385-0896
Fax(631) 385-0896
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 9, 2007
Last NPPES UpdateMarch 19, 20202 updates tracked since enumeration
NPPES CertifiedMarch 19, 2020
NPI 1023206505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NY · 243927
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 243927 (NY)
172 E MAIN ST, Huntington, NY 11743

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

Dr. Sotir Polena Md 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 ID1557416120
PECOS Enrollment IDI20090903000007
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 45

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
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.
575 services300 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
300 services74 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.
260 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
201 services165 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
185 services185 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
150 services74 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.88
Promoting Interoperability100
Improvement Activities40
Cost61.06

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Adult Health)
172 E MAIN ST
HUNTINGTON, NY 11743
Internal Medicine (Cardiovascular Disease)
172 E MAIN ST
HUNTINGTON, NY 11743
Internal Medicine (Interventional Cardiology)
172 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
172 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Adult Health)
172 E MAIN ST
HUNTINGTON, NY 11743
Internal Medicine (Cardiovascular Disease)
172 E MAIN ST
HUNTINGTON, NY 11743
Internal Medicine (Cardiovascular Disease)
172 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
172 E MAIN ST
HUNTINGTON, NY 11743

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 Sotir Polena's NPI number?

The NPI number for Sotir Polena is 1023206505. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Sotir Polena located?

Sotir Polena practices at 172 E Main St, Huntington, NY 11743. The listed phone number is (631) 385-0022.

What is Sotir Polena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sotir Polena enrolled in Medicare?

Yes. Sotir Polena 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.

Is Sotir Polena affiliated with any hospitals?

According to CMS data, Sotir Polena is affiliated with Ns/Lij Hs Huntington Hospital and North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Sotir Polena was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.