DR. ANDREW JACOB POLK MD
NPI 1528697448
Ophthalmology in Fenton, MO

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1011 BOWLES AVE STE 200, FENTON, MO 63026(636) 717-1700(636) 203-4727 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Dr. Andrew Jacob Polk Md NPPES

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

DR. ANDREW JACOB POLK MD (NPI 1528697448) is an individual ophthalmology provider in Fenton, Missouri, licensed in Missouri (2024032606) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Parkland Health Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (2020).

NPPES Registry Identity

NPI1528697448
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ANDREW JACOB POLKCredential: MD
Location Address1011 BOWLES AVE STE 200Fenton, MO 63026-2384
Mailing Address1011 Bowles Ave Ste 200Fenton, MO 63026-2384 · (636) 717-1700 · Fax (636) 203-4727
Fax(636) 203-4727
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1528697448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2024032606
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1011 BOWLES AVE STE 200, Fenton, MO 63026

Accepted 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

Dr. Andrew Jacob Polk 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 ID5799109963
PECOS Enrollment IDI20240829003948
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.

Areas of Expertise CMS Part B claims 2

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services20 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES

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

Optometrist
1011 BOWLES AVE STE 200
FENTON, MO 63026

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 Andrew Polk's NPI number?

The NPI number for Andrew Polk is 1528697448. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Andrew Polk located?

Andrew Polk practices at 1011 Bowles Ave Ste 200, Fenton, MO 63026. The listed phone number is (636) 717-1700.

What is Andrew Polk's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew Polk enrolled in Medicare?

Yes. Andrew Polk 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 Andrew Polk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Andrew Polk 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 Andrew Polk affiliated with any hospitals?

According to CMS data, Andrew Polk is affiliated with Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Andrew Polk was last updated on September 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.