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DR. ROBERT POLAK M.D.
NPI 1730599366
Surgery in Miamisburg, OH

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
4000 MIAMISBURG CENTERVILLE RD STE 420, MIAMISBURG, OH 45342(937) 439-4145(937) 439-4371 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Polak M.d. NPPES

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

DR. ROBERT POLAK M.D. (NPI 1730599366) is an individual surgery provider in Miamisburg, Ohio, licensed in Ohio (35.143165) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2014).

NPPES Registry Identity

NPI1730599366
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT POLAKCredential: M.D.
Location Address4000 MIAMISBURG CENTERVILLE RD STE 420Miamisburg, OH 45342-7615
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 439-4145
Fax(937) 439-4371
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1730599366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 35.143165✔ Licensed in TX · BP10049567
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.
4000 MIAMISBURG CENTERVILLE RD STE 420, Miamisburg, OH 45342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Robert Polak M.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 ID2567760796
PECOS Enrollment IDI20210831002334
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 3

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.

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.
23 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 6

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

MRS. CHELSEA L ZASTROW APRN, FNP-C
Nurse Practitioner (Family)
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 439-4145
HEATHER MARIE JONES FNP-C
Nurse Practitioner (Family)
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 384-4511
EMILY NOLAN PA-C
Physician Assistant
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 439-4145
MRS. PERITHA GARLAND PAC
Physician Assistant
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 439-4145
JEROD B GROGG PA
Physician Assistant
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 439-4145
MICHELLE ELIZABETH WRIGHT MPAS, PA-C
Physician Assistant (Surgical)
4000 MIAMISBURG CENTERVILLE RD STE 420
MIAMISBURG, OH 45342
Montgomery County (937) 762-1306

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 Robert Polak's NPI number?

The NPI number for Robert Polak is 1730599366. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Robert Polak located?

Robert Polak practices at 4000 Miamisburg Centerville Rd Ste 420, Miamisburg, OH 45342. The listed phone number is (937) 439-4145.

What is Robert Polak's specialty?

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

Is Robert Polak enrolled in Medicare?

Yes. Robert Polak 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 Robert Polak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Robert Polak 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 Robert Polak affiliated with any hospitals?

According to CMS data, Robert Polak is affiliated with Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Robert Polak was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.