DAVID VATTATHARA POLSON MD
NPI 1417539248
Family Medicine in Pittsburgh, PA

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
111 SHERIDAN ST, PITTSBURGH, PA 15209(412) 821-2277 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Apr 21, 2021 (2 updates tracked since 2021).

About David Vattathara Polson Md NPPES

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

DAVID VATTATHARA POLSON MD (NPI 1417539248) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD486230) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417539248
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID VATTATHARA POLSONCredential: MD
Location Address111 SHERIDAN STPittsburgh, PA 15209-2638
Mailing Address111 Sheridan StPittsburgh, PA 15209-2638 · (412) 821-2277
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1417539248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD486230
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 SHERIDAN ST, Pittsburgh, PA 15209

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

David Vattathara Polson Md 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 ID5698273423
PECOS Enrollment IDI20250812000281
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 2

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15209 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 8

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

Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Non-Pharmacy Dispensing Site
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Physician Assistant (Medical)
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209
Family Medicine
111 SHERIDAN ST
PITTSBURGH, PA 15209

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 David Polson's NPI number?

The NPI number for David Polson is 1417539248. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is David Polson located?

David Polson practices at 111 Sheridan St, Pittsburgh, PA 15209. The listed phone number is (412) 821-2277.

What is David Polson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Polson enrolled in Medicare?

Yes. David Polson 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.

Is David Polson affiliated with any hospitals?

According to CMS data, David Polson is affiliated with Upmc St Margaret and Upmc Passavant.

When was this NPI record last updated?

The NPPES record for David Polson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.