KIM N POLUDNIANYK D.O.
NPI 1609072792
Orthopaedic Surgery in Lake Charles, LA

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601(337) 494-4900(337) 494-4936 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2019, Jul 31, 2019 (2 updates tracked since 2019).

About Kim N Poludnianyk D.o. NPPES

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

KIM N POLUDNIANYK D.O. (NPI 1609072792) is an individual orthopaedic surgery provider in Lake Charles, Louisiana, licensed in Louisiana (320010) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Lake Charles.

NPPES Registry Identity

NPI1609072792
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameKIM N POLUDNIANYKCredential: D.O.
Location Address1717 OAK PARK BLVD FL 3Lake Charles, LA 70601
Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-2165 · (337) 494-4900 · Fax (337) 494-4936
Fax(337) 494-4936
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2007
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
NPI 1609072792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in LA · 320010
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1717 OAK PARK BLVD FL 3, Lake Charles, LA 70601

Secondary Practice Location 1

Location 11717 Oak Park Blvd Fl 3Lake Charles, LA 70601 · Phone (337) 494-4900 · Fax (337) 494-4936

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

Kim N Poludnianyk D.o. 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 ID8729219100
PECOS Enrollment IDI20211119000681
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 20

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

Physician Assistant
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Adult Health)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Family Medicine (Adult Medicine)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Adult Health)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609072792, enumerated as an "individual" on June 25, 2007.

The provider is located at 1717 OAK PARK BLVD FL 3 LAKE CHARLES, LA 70601 and the phone number is (337) 494-4900.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan and. Please consult your insurance carrier or call the provider to verify.

Kim Poludnianyk is affiliated with: PORTNEUF MEDICAL CENTER.