DR. MARK J POLAK M.D.
NPI 1265512255
Pediatrics in Morgantown, WV
About Dr. Mark J Polak M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK J POLAK M.D. (NPI 1265512255) is an individual pediatrics provider in Morgantown, West Virginia, licensed in West Virginia (13579) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark J Polak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Mark Polak reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morgantown, WV 26506
- Reassigned Medicare billing, West Virginia enrollment
- 2,471 clinicians in this Medicare group
Smithfield, PA 15478
- Reassigned Medicare billing, Pennsylvania enrollment
- 398 clinicians in this Medicare group
Glen Dale, WV 26038
- Reassigned Medicare billing, West Virginia enrollment
- 275 clinicians in this Medicare group
Buckhannon, WV 26201
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
- 189 clinicians in this Medicare group
Wheeling, WV 26003
- Reassigned Medicare billing, West Virginia enrollment
- 502 clinicians in this Medicare group
Martinsburg, WV 25401
- Reassigned Medicare billing, West Virginia enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MORGANTOWN, WV 26506
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 Mark Polak's NPI number?
The NPI number for Mark Polak is 1265512255. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is Mark Polak located?
Mark Polak practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.
What is Mark Polak's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mark Polak enrolled in Medicare?
Yes. Mark Polak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mark Polak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Polak reassigns Medicare benefits to 6 organizations: West Virginia University Medical Corporation (Morgantown, WV), Fayette Physician Network Inc (Smithfield, PA), Reynolds Memorial Hospital, Inc. (Glen Dale, WV), St Josephs Hospital Of Buckhannon Inc (Buckhannon, WV), Wheeling Hospital Inc (Wheeling, WV) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Polak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Polak accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Mark Polak 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.
When was this NPI record last updated?
The NPPES record for Mark Polak was last updated on April 13, 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.
# Dr. Mark J Polak, M.D. · NPI 1265512255
Pediatrics physician in Morgantown, West Virginia. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1265512255 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 13579 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 STADIUM DRIVE, Morgantown, WV 26506
- **Phone:** (304) 598-4800 · **Fax:** (304) 598-6873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): West Virginia University Medical Corporation (NPI 1275504508, Morgantown, WV); Fayette Physician Network Inc (NPI 1588066765, Smithfield, PA); Reynolds Memorial Hospital, Inc. (NPI 1265040356, Glen Dale, WV); St Josephs Hospital Of Buckhannon Inc (NPI 1124005061, Buckhannon, WV); Wheeling Hospital Inc (NPI 1548923923, Wheeling, WV); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2022
- **Other identifiers:** Medicaid 0105897000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1265512255) · Data from the CMS NPPES public registry.