MR. JASON POLONSKY PA
NPI 1295797934
Physician Assistant in Iowa City, IA

Q: What is Jason Polonsky's NPI number?

The NPI number for Jason Polonsky is 1295797934. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Jason Polonsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Polonsky was last updated on December 28, 2016. 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.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

500 E MARKET ST, IOWA CITY, IA 52245(319) 339-0300(319) 358-2783 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Jason Polonsky Pa NPPES

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

MR. JASON POLONSKY PA (NPI 1295797934) is an individual physician assistant in Iowa City, Iowa, licensed in Iowa (001465) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Keokuk County Health Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1295797934

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JASON POLONSKYCredential: PA

Location Address500 E MARKET STIowa City, IA 52245-2633

Mailing Address625 S Gilbert St, Ste 2Iowa City, IA 52240-1736 · (319) 688-7376 · Fax (319) 358-2628

Phone(319) 339-0300

Fax(319) 358-2783

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 6, 2006

Last NPPES UpdateDecember 28, 2016

✔ NPI 1295797934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 001465

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

500 E MARKET ST, Iowa City, IA 52245

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Other Identifiers 1

Medicare UPINP81655

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Mr. Jason Polonsky Pa 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 ID6507836004

PECOS Enrollment IDI20040730000821

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.

Hospital Affiliations CMS Care Compare

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

Keokuk County Health Center

Critical Access Hospitals · Sigourney, IA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number161315

Location23019 Highway 149Sigourney, IA 52591 · Keokuk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52245 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers18 claims22 services$5.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BENNETT ALLEN HARTMANN MD

Anesthesiology