MARK D POLOWAY PH.D.
NPI 1457438624
Psychologist - Clinical in Oceanside, CA

Q: What is Mark Poloway's NPI number?

The NPI number for Mark Poloway is 1457438624. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mark Poloway's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Poloway 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 November 01, 2006PECOS EnrolledAccepts Medicare Assignment

2181 EL CAMINO REAL, SUITE 205, OCEANSIDE, CA 92054(760) 612-5490(760) 859-3002 Get Directions Write a Review

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

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About Mark D Poloway Ph.d. NPPES

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

MARK D POLOWAY PH.D. (NPI 1457438624) is an individual clinical provider in Oceanside, California, licensed in California (PSY8883) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1457438624

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARK D POLOWAYCredential: PH.D.

Location Address2181 EL CAMINO REAL, SUITE 205Oceanside, CA 92054-6222

Mailing Address4006 Isle DrCarlsbad, CA 92008-3615 · (760) 612-5490 · Fax (760) 859-3002

Phone(760) 612-5490

Fax(760) 859-3002

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 28, 2016

✔ NPI 1457438624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY8883

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2181 EL CAMINO REAL, Oceanside, CA 92054

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Other Identifiers 2

MedicaidPK00088830CA

Medicare ID-Type UnspecifiedCP8883CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mark D Poloway Ph.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 ID6608035985

PECOS Enrollment IDI20120306000307

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92054 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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 Mark Poloway's NPI number?

The NPI number for Mark Poloway is 1457438624. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mark Poloway located?

Mark Poloway practices at 2181 El Camino Real Suite 205, Oceanside, CA 92054. The listed phone number is (760) 612-5490.

What is Mark Poloway's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mark Poloway enrolled in Medicare?

Yes. Mark Poloway 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.

What insurance does Mark Poloway accept?

Health plans from Providence Health Plan list Mark Poloway 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 Mark Poloway 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.