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DR. GREGORY MICHAEL POLCHA JR. DO
NPI 1750888103
Internal Medicine in Youngstown, OH

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
1001 COVINGTON ST, YOUNGSTOWN, OH 44510(330) 480-2616(330) 480-7979 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2021, Oct 26, 2018, Oct 10, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Gregory Michael Polcha Jr. Do NPPES

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

DR. GREGORY MICHAEL POLCHA JR. DO (NPI 1750888103) is an individual internal medicine provider in Youngstown, Ohio, licensed in Ohio (34.015240) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1750888103
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GREGORY MICHAEL POLCHA JR.Credential: DO
Location Address1001 COVINGTON STYoungstown, OH 44510-1617
Mailing Address1001 Covington StYoungstown, OH 44510-1617 · (330) 480-2616 · Fax (330) 480-7979
Phone(330) 480-2616
Fax(330) 480-7979
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateApril 11, 2018
Last NPPES UpdateJuly 1, 20214 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1750888103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.015240
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 COVINGTON ST, Youngstown, OH 44510
Open in Google Maps ↗

Secondary Practice Location 1

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-3196

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Michael Polcha Jr. Do 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 ID4587928924
PECOS Enrollment IDI20210707003475
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Polcha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Youngstown Specialty Care LLC
0.2 mi
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1609544055 (330) 746-7211
Mercy Health Physicians Youngstown, LLC
0.2 mi
Family Medicine
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 374 clinicians in this Medicare group
NPI 1154636066 (330) 746-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
61 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44510 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

DR. VIPIN DAS VILLGRAN MD
Internal Medicine (Pulmonary Disease)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3258
MICHAEL R SIPPEL MD
Surgery
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2371
JOANNE GRACE SANTOS GREISING MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
AKSHITA KAUSHAL MD
Student in an Organized Health Care Education/Training Program
1001 COVINGTON ST, ST ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CYNTHIA ANN KRAVEC MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CHITSIMRAN MANN
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3565
ANGELA SALCEDO AQUINO
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
DR. CHARLES A PAGE DMD
Dentist (General Practice)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3195

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 Gregory Polcha's NPI number?

The NPI number for Gregory Polcha is 1750888103. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Gregory Polcha located?

Gregory Polcha practices at 1001 Covington St, Youngstown, OH 44510. The listed phone number is (330) 480-2616.

What is Gregory Polcha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gregory Polcha enrolled in Medicare?

Yes. Gregory Polcha 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.

Which organizations bill Medicare for Gregory Polcha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Polcha reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Mercy Health Physicians Youngstown, LLC (Youngstown, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Polcha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Polcha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Gregory Polcha 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 Gregory Polcha affiliated with any hospitals?

According to CMS data, Gregory Polcha is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Gregory Polcha was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.