DR. AMY CATON POLVERINI MD
NPI 1073760815
Surgery - Surgical Oncology in South Pasadena, CA

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(626) 396-2900 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Mar 17, 2018, Nov 7, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Amy Caton Polverini Md NPPES

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

DR. AMY CATON POLVERINI MD (NPI 1073760815) is an individual surgical oncology provider in South Pasadena, California, licensed in California (A111253) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (2008).

NPPES Registry Identity

NPI1073760815
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. AMY CATON POLVERINICredential: MD
Location Address209 FAIR OAKS AVESouth Pasadena, CA 91030-1814
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2008
Enumeration DateAugust 22, 2008
Last NPPES UpdateJune 28, 20224 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1073760815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in CA · A111253
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License A111253 (CA)
209 FAIR OAKS AVE, South Pasadena, CA 91030

Secondary Practice Locations 2

Location 11000 W Carson St, Box 461Torrance, CA 90502-2004 · Phone (310) 222-2700 · Fax (310) 533-1841
Location 2625 S Fair Oaks Ave Ste And380Pasadena, CA 91105-2613 · Phone (424) 314-0177 · Fax (424) 314-0180

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. Amy Caton Polverini 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 ID2466627872
PECOS Enrollment IDI20111214000325
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 7

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 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.
65 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
26 services20 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
22 services20 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
22 services22 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers14 claims31 services$37.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Surgery (Surgical Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Physician Assistant
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Surgery
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Internal Medicine (Hematology & Oncology)
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

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 Amy Polverini's NPI number?

The NPI number for Amy Polverini is 1073760815. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Amy Polverini located?

Amy Polverini practices at 209 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (626) 396-2900.

What is Amy Polverini's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Amy Polverini enrolled in Medicare?

Yes. Amy Polverini 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.

When was this NPI record last updated?

The NPPES record for Amy Polverini was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.