ADAM J POLIFKA MD
NPI 1427251230
Neurological Surgery in Jacksonville, FL

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 7, 2025, Sep 6, 2023, Sep 20, 2018 and 1 more (4 updates tracked since 2018).

About Adam J Polifka Md NPPES

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

ADAM J POLIFKA MD (NPI 1427251230) is an individual neurological surgery provider in Jacksonville, Florida, licensed in Florida (ME124190) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427251230
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameADAM J POLIFKACredential: MD
Location Address836 PRUDENTIAL DR STE 1400Jacksonville, FL 32207-8340
Mailing AddressPo Box 746647Atlanta, GA 30374-6647 · (904) 202-2092 · Fax (904) 376-4075
Fax(904) 384-1005
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2007
Enumeration DateJune 8, 2007
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1427251230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in FL · ME124190
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
836 PRUDENTIAL DR STE 1400, Jacksonville, FL 32207

Secondary Practice Locations 2

Location 11370 13th Ave S Ste 118Jacksonville Beach, FL 32250-3206 · Phone (904) 388-6518 · Fax (904) 388-1005
Location 21747 Baptist Clay Dr Ste 200Fleming Island, FL 32003-8505 · Phone (904) 202-6683 · Fax (904) 376-3062

Other Identifiers 1

Medicaid014995400FL

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

Adam J Polifka 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 ID5991017394
PECOS Enrollment IDI20150626000813
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

2

Medicare enrollment records show Adam Polifka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
1650 PRUDENTIAL DR STE 200
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 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 19

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.

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.
185 services185 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
84 services31 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.
83 services75 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
75 services48 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
32 services29 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
3 suppliers17 claims17 services$3,754.26 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
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Neurocritical Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207

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 Adam Polifka's NPI number?

The NPI number for Adam Polifka is 1427251230. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Adam Polifka located?

Adam Polifka practices at 836 Prudential Dr Ste 1400, Jacksonville, FL 32207. The listed phone number is (904) 388-6518.

What is Adam Polifka's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Adam Polifka enrolled in Medicare?

Yes. Adam Polifka 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 Adam Polifka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Polifka reassigns Medicare benefits to 2 organizations: Lyerly Baptist Inc (Jacksonville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Adam Polifka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Polifka accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Adam Polifka 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.

Is Adam Polifka affiliated with any hospitals?

According to CMS data, Adam Polifka is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Baptist Medical Center - Nassau and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Adam Polifka was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.