ELLEN POLOKOFF MD
NPI 1487671178
Surgery in Southbury, CT

Active since July 17, 2006PECOS Enrolled
900 MAIN ST S, BLDG 2, SUITE 101, SOUTHBURY, CT 06488(203) 262-2300(203) 262-2305 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Polokoff Md NPPES

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

ELLEN POLOKOFF MD (NPI 1487671178) is an individual surgery provider in Southbury, Connecticut, licensed in Connecticut (035653) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487671178
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameELLEN POLOKOFFCredential: MD
Location Address900 MAIN ST S, BLDG 2, SUITE 101Southbury, CT 06488-4237
Mailing Address900 Main St S, Bldg 2, Suite 101Southbury, CT 06488-4237 · (203) 262-2300 · Fax (203) 262-2305
Fax(203) 262-2305
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1487671178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CT · 035653
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 MAIN ST S, Southbury, CT 06488

Other Identifiers 1

Medicaid001356535CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Polokoff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%334 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
900 MAIN ST S
SOUTHBURY, CT 06488
Clinic/Center (Urgent Care)
900 MAIN ST S, SUITE 100, BUILDING 2
SOUTHBURY, CT 06488
Nurse Practitioner (Family)
900 MAIN ST S
SOUTHBURY, CT 06488
Surgery
900 MAIN ST S
SOUTHBURY, CT 06488
Internal Medicine
900 MAIN ST S, BUILDING 2, SUITE 100
SOUTHBURY, CT 06488
Family Medicine
900 MAIN ST S
SOUTHBURY, CT 06488
Durable Medical Equipment & Medical Supplies
900 MAIN ST S
SOUTHBURY, CT 06488
Emergency Medicine
900 MAIN ST S
SOUTHBURY, CT 06488

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 Ellen Polokoff's NPI number?

The NPI number for Ellen Polokoff is 1487671178. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Ellen Polokoff located?

Ellen Polokoff practices at 900 Main St S Bldg 2, Suite 101, Southbury, CT 06488. The listed phone number is (203) 262-2300.

What is Ellen Polokoff's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ellen Polokoff enrolled in Medicare?

Yes. Ellen Polokoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Polokoff was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.