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DR. MARK J POLAK M.D.
NPI 1265512255
Pediatrics in Morgantown, WV

Active since October 16, 2006PECOS Enrolled
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 598-6873 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1265512255
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK J POLAKCredential: M.D.
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 598-4800
Fax(304) 598-6873
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1265512255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 13579
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 STADIUM DRIVE, Morgantown, WV 26506
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Other Identifiers 1

Medicaid0105897000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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.

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.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

DR. MICHAEL HURST M.D.
Otolaryngology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
TANYA C AMMONS CRNA
Nurse Anesthetist, Certified Registered
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. CHERIE L KELLY-DANHIRES DPM
Podiatrist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. DAVID WEISSMAN M. D.
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. KATHRYN S MOFFETT M.D.
Pediatrics (Pediatric Infectious Diseases)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
MARY E CHAFIN
Nurse Practitioner
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DENISE BOYCE PA-C
Physician Assistant
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. NATHAN LERFALD M.D.
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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.

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.