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MICHAEL D POLKA M.D.
NPI 1144242223
Emergency Medicine in Appleton, WI

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 731-4101 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D Polka M.d. NPPES

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

MICHAEL D POLKA M.D. (NPI 1144242223) is an individual emergency medicine provider in Appleton, Wisconsin, licensed in Wisconsin (53394) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Medical College Of Wisconsin (2000).

NPPES Registry Identity

NPI1144242223
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL D POLKACredential: M.D.
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address4930 N Turnberry DrAppleton, WI 54913-8680 · (815) 315-2318
Phone(920) 731-4101
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2000
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1144242223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 53394✔ Licensed in IL · 036-108682
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1818 N MEADE ST, Appleton, WI 54911
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Other Identifiers 5

Medicaid036108682IL
Medicaid34715700WI
Medicare NSC0002645150WI
OtherP00054858IL · Medicare Railroad
Medicare UPINH64673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica.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

Michael D Polka 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 ID3072654425
PECOS Enrollment IDI20100106000782
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
156 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
100 services94 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Michael Polka's NPI number?

The NPI number for Michael Polka is 1144242223. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Polka located?

Michael Polka practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.

What is Michael Polka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Polka enrolled in Medicare?

Yes. Michael Polka 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 Michael Polka accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Medica list Michael Polka 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 Michael Polka affiliated with any hospitals?

According to CMS data, Michael Polka is affiliated with Aspirus Rhinelander Hospital, Thedacare Regional Medical Center - Appleton Inc, Aspirus Medford Hospital & Clinics, Inc and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Michael Polka was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.