ERICA RACHEL PODOLSKY M.D.
NPI 1124328125
Surgery in Delray Beach, FL

Active since October 25, 2010PECOS EnrolledAccepts Medicare Assignment
78.1/100
CMS Quality Rating
16215 S JOG RD STE 204, DELRAY BEACH, FL 33446(561) 448-3848(561) 501-3808 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erica Rachel Podolsky M.d. NPPES

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

ERICA RACHEL PODOLSKY M.D. (NPI 1124328125) is an individual surgery provider in Delray Beach, Florida, licensed in Florida (ME121024) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1124328125
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameERICA RACHEL PODOLSKYCredential: M.D.
Location Address16215 S JOG RD STE 204Delray Beach, FL 33446-2386
Mailing AddressPo Box 20800Belfast, ME 04915-4105 · (888) 402-7256 · Fax (888) 902-1099
Fax(561) 501-3808
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateOctober 25, 2010
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
NPI 1124328125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME121024
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
16215 S JOG RD STE 204, Delray Beach, FL 33446

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

Erica Rachel Podolsky 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 ID446490262
PECOS Enrollment IDI20150713000618
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 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.
36 services33 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.
25 services23 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
22 services22 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
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33446 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

78.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.93
Promoting Interoperability100
Improvement Activities40
Cost54.54

Reported Quality Measures

Breast Cancer Screening
62%131 patients3/55-star benchmark: 93%
Cervical Cancer Screening
57%176 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
11%28 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
70%61 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%68 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
72%68 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%625 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%176 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
76%448 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
85%430 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%511 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 275 patients
95%275 patients
Provide Patients Electronic Access to Their Health Information
73%299 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%129 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 184 patients
Patients totalRate: 3% · 185 patients
2%185 patients4/55-star benchmark: 100%
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 5

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

Surgery
16215 S JOG RD STE 204
DELRAY BEACH, FL 33446
Physician Assistant
16215 S JOG RD STE 204
DELRAY BEACH, FL 33446
Colon & Rectal Surgery
16215 S JOG RD STE 204
DELRAY BEACH, FL 33446
Colon & Rectal Surgery
16215 S JOG RD STE 204
DELRAY BEACH, FL 33446
Psychiatry & Neurology (Neurology)
16215 S JOG RD STE 204
DELRAY BEACH, FL 33446

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 Erica Podolsky's NPI number?

The NPI number for Erica Podolsky is 1124328125. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Erica Podolsky located?

Erica Podolsky practices at 16215 S Jog Rd Ste 204, Delray Beach, FL 33446. The listed phone number is (561) 448-3848.

What is Erica Podolsky's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erica Podolsky enrolled in Medicare?

Yes. Erica Podolsky 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 Erica Podolsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Erica Podolsky 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 Erica Podolsky affiliated with any hospitals?

According to CMS data, Erica Podolsky is affiliated with Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Podolsky was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.