DR. JERRY WAYNE POLASEK M.D.
NPI 1043487911
Radiology - Diagnostic Radiology in Houston, TX

Active since May 10, 2008PECOS EnrolledAccepts Medicare Assignment
84.33/100
CMS Quality Rating
1 BAYLOR PLZ, HOUSTON, TX 77030(281) 217-5119 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Wayne Polasek M.d. NPPES

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

DR. JERRY WAYNE POLASEK M.D. (NPI 1043487911) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (M5885) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Baylor College Of Medicine (2004).

NPPES Registry Identity

NPI1043487911
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JERRY WAYNE POLASEKCredential: M.D.
Location Address1 BAYLOR PLZHouston, TX 77030-3411
Mailing Address1602 Gannoway Lake CtSugar Land, TX 77498-2873 · (281) 217-5119
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2004
Enumeration DateMay 10, 2008
Last NPPES UpdateNovember 29, 2011
NPI 1043487911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · M5885
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License M5885 (TX)
1 BAYLOR PLZ, Houston, TX 77030

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

Dr. Jerry Wayne Polasek M.d. 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 ID5193859296
PECOS Enrollment IDI20100811000397
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 43

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.

Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
586 services583 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
433 services421 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
300 services295 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
242 services241 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
229 services228 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
168 services168 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

84.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,539 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%176 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030
Obstetrics & Gynecology
1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030
Hospitalist
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030

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 Jerry Polasek's NPI number?

The NPI number for Jerry Polasek is 1043487911. It was assigned to this individual provider in the NPPES registry on May 10, 2008.

Where is Jerry Polasek located?

Jerry Polasek practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (281) 217-5119.

What is Jerry Polasek's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jerry Polasek enrolled in Medicare?

Yes. Jerry Polasek 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 Jerry Polasek accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Jerry Polasek 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.

Is Jerry Polasek affiliated with any hospitals?

According to CMS data, Jerry Polasek is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital, Houston Methodist Willowbrook Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Polasek was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.