1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Physician Assistant
  6. NPI Profile

MR. PAVEL POLINOVSKY PA-C
NPI 1083900195
Physician Assistant in Chicago, IL

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N ST CLAIR ST, STE 20-100 GALTER PAVILION, CHICAGO, IL 60611(312) 695-1920(312) 695-5747 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2019, Jul 12, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Pavel Polinovsky Pa-c NPPES

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

MR. PAVEL POLINOVSKY PA-C (NPI 1083900195) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085004046) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Mercer University School Of Medicine (2011).

NPPES Registry Identity

NPI1083900195
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PAVEL POLINOVSKYCredential: PA-C
Location Address675 N ST CLAIR ST, STE 20-100 GALTER PAVILIONChicago, IL 60611
Mailing Address675 N St Clair St, Ste 20-100 Galter PavilionChicago, IL 60611-8709 · (312) 695-1920 · Fax (312) 695-5747
Phone(312) 695-1920
Fax(312) 695-5747
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateAugust 27, 20254 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1083900195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085004046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 085004046 (IL)
675 N ST CLAIR ST, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 2

OtherF400187717IL · Medicare Ptan (individual)
Other206147IL · Medicare Ptan (group)

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

Mr. Pavel Polinovsky 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 ID6800067091
PECOS Enrollment IDI20110920000308
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 2

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.
33 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$41.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pavel Polinovsky's NPI number?

The NPI number for Pavel Polinovsky is 1083900195. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Pavel Polinovsky located?

Pavel Polinovsky practices at 675 N St Clair St Ste 20-100 Galter Pavilion, Chicago, IL 60611. The listed phone number is (312) 695-1920.

What is Pavel Polinovsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pavel Polinovsky enrolled in Medicare?

Yes. Pavel Polinovsky 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 Pavel Polinovsky affiliated with any hospitals?

According to CMS data, Pavel Polinovsky is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pavel Polinovsky was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.