ALBERT JOHN POLITO M.D.
NPI 1417995853
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
301 SAINT PAUL PL, TOWER - 4TH FLOOR, BALTIMORE, MD 21202(410) 332-9732 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Albert John Polito M.d. NPPES

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

ALBERT JOHN POLITO M.D. (NPI 1417995853) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D51021) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of New York University School Of Medicine (1989).

NPPES Registry Identity

NPI1417995853
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameALBERT JOHN POLITOCredential: M.D.
Location Address301 SAINT PAUL PL, TOWER - 4TH FLOORBaltimore, MD 21202-2102
Mailing Address301 St. Paul Place, Medical Staff OfficeBaltimore, MD 21202-2102 · (410) 659-2802
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1989
Enumeration DateJune 4, 2006
Last NPPES UpdateMarch 11, 2010
✔ NPI 1417995853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D51021
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
301 SAINT PAUL PL, Baltimore, MD 21202

Other Identifiers 4

Medicare UPING48045MD
Medicare ID-Type UnspecifiedKR66JHMD
Medicaid680601500MD
Medicare ID-Type Unspecified671TMD

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

Albert John Polito 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 ID5496772956
PECOS Enrollment IDI20051025000317
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 Reassignment

Medicare enrollment records show Albert Polito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Pathology/Laboratory Medicine
301 ST PAUL PLACE
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: St Paul Place Specialists, Inc.
  • 423 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 8

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
484 services327 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
381 services265 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
377 services303 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
376 services302 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers31 claims31 services$33.29 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers11 claims20 services$1.24 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
4 suppliers11 claims11 services$1.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers18 claims18 services$78.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims38 services$31.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims78 services$13.44 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.

Physician Assistant
301 SAINT PAUL PL, ORTHOPEDIC AND JOINT REPLACEMENT
BALTIMORE, MD 21202
Emergency Medicine
301 SAINT PAUL PL
BALTIMORE, MD 21202
Surgery (Vascular Surgery)
301 SAINT PAUL PL, 5TH FLOOR
BALTIMORE, MD 21202
Radiology (Diagnostic Radiology)
301 SAINT PAUL PL, RADIOLOGY DEPT
BALTIMORE, MD 21202
Urology
301 SAINT PAUL PL, POB 802
BALTIMORE, MD 21202
Orthopaedic Surgery
301 SAINT PAUL PL, POB 804
BALTIMORE, MD 21202
Advanced Practice Midwife
301 SAINT PAUL PL, TOWER # 306
BALTIMORE, MD 21202
Physical Therapist
301 SAINT PAUL PL
BALTIMORE, MD 21202

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 Albert Polito's NPI number?

The NPI number for Albert Polito is 1417995853. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Albert Polito located?

Albert Polito practices at 301 Saint Paul Pl Tower - 4th Floor, Baltimore, MD 21202. The listed phone number is (410) 332-9732.

What is Albert Polito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Albert Polito enrolled in Medicare?

Yes. Albert Polito 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 organization bills Medicare for Albert Polito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Polito reassigns Medicare benefits to Saint Paul Place Specialists, Inc. (Baltimore, MD). The 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 Albert Polito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Albert Polito affiliated with any hospitals?

According to CMS data, Albert Polito is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Albert Polito was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.