DR. MAXIM ALEXANDROVICH POLANSKY M.D.
NPI 1275913006
Dermatology - MOHS-Micrographic Surgery in Chicago, IL

Active since June 06, 2015PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST STE 264, CHICAGO, IL 60612(312) 942-2195 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2024, May 24, 2022, Mar 31, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Maxim Alexandrovich Polansky M.d. NPPES

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

DR. MAXIM ALEXANDROVICH POLANSKY M.D. (NPI 1275913006) is an individual mohs-micrographic surgery provider in Chicago, Illinois, licensed in Illinois (036159949) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At Houston (2015).

NPPES Registry Identity

NPI1275913006
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. MAXIM ALEXANDROVICH POLANSKYCredential: M.D.
Location Address1725 W HARRISON ST STE 264Chicago, IL 60612-3844
Mailing Address1725 W Harrison St Ste 264Chicago, IL 60612-3844 · (312) 942-2195
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2015
Enumeration DateJune 6, 2015
Last NPPES UpdateMay 10, 20244 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1275913006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses✔ Licensed in IL · 036159949✔ Licensed in WI · 73235
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1725 W HARRISON ST STE 264, Chicago, IL 60612

Secondary Practice Locations 2

Location 1789 Howard Ave, YNHH PCC York St. CampusNew Haven, CT 06519-1304 · Phone (203) 688-8300
Location 21000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maxim Alexandrovich Polansky 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 ID6406161215
PECOS Enrollment IDI20220728000751
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Maxim Polansky reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 clinicians in this Medicare group
Dermatology
1124 ESSINGTON RD
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Dermatology
1450 PROFESSIONAL PARK DR, SUITE 150
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 55 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.

Areas of Expertise CMS Part B claims 48

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,328 services230 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
791 services643 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.
633 services457 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
407 services313 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
348 services316 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
344 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Physician Assistant
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612
Dermatology
1725 W HARRISON ST STE 264
CHICAGO, IL 60612

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 Maxim Polansky's NPI number?

The NPI number for Maxim Polansky is 1275913006. It was assigned to this individual provider in the NPPES registry on June 6, 2015.

Where is Maxim Polansky located?

Maxim Polansky practices at 1725 W Harrison St Ste 264, Chicago, IL 60612. The listed phone number is (312) 942-2195.

What is Maxim Polansky's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Maxim Polansky enrolled in Medicare?

Yes. Maxim Polansky 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.

Which organizations bill Medicare for Maxim Polansky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxim Polansky reassigns Medicare benefits to 5 organizations: Rush University Medical Group (Chicago, IL), Pinnacle Dermatology, Sc (Joliet, IL), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI) and Skin Surgery Center PA (Winston Salem, NC). 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 Maxim Polansky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maxim Polansky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter of North Carolina and Cigna Healthcare and 3 other insurers list Maxim Polansky 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 Maxim Polansky was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.