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DR. SAMUEL ANDREW POLEK M.D.
NPI 1790004646
Psychiatry & Neurology - Psychiatry in Hoover, AL

Active since May 18, 2010PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
2803 GREYSTONE COMMERCIAL BLVD STE 12, HOOVER, AL 35242(205) 968-1228 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2023, Oct 2, 2023, Sep 1, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Samuel Andrew Polek M.d. NPPES

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

DR. SAMUEL ANDREW POLEK M.D. (NPI 1790004646) is an individual psychiatry provider in Hoover, Alabama, licensed in Alabama (MD.32824) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoover, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790004646
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SAMUEL ANDREW POLEKCredential: M.D.
Location Address2803 GREYSTONE COMMERCIAL BLVD STE 12Hoover, AL 35242-9603
Mailing Address14 Belle Point RdBelfast, ME 04915-4265 · (256) 499-1629
Phone(205) 968-1228
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 18, 2010
Last NPPES UpdateNovember 29, 20215 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1790004646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AL · MD.32824
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2803 GREYSTONE COMMERCIAL BLVD STE 12, Hoover, AL 35242
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Secondary Practice Location 1

Location 12803 Greystone Commercial Blvd Ste 12Hoover, AL 35242-9603 · Phone (866) 219-2688 · Fax (423) 523-0994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company 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. Samuel Andrew Polek 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 ID1052556594
PECOS Enrollment IDI20230531002981
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

6

Medicare enrollment records show Samuel Polek reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama At Birmingham
13 mi
Psychiatry
619 19TH ST S, CPMC 409, ATTN: BARBARA HARRIS
Birmingham, AL 35249
  • Reassigned Medicare billing, Alabama enrollment
  • 17 clinicians in this Medicare group
NPI 1811280654 (205) 602-5256
Houston County Healthcare Authority
120 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404
Family Care Center, LLC
174 mi
Mental Health (Including Community Mental Health Center)
5030 CAROTHERS PARKWAY, SUITE 120
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 211 clinicians in this Medicare group
NPI 1124756085 (719) 540-2100
Mccd Fl Psychiatry Services PA
363 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Alabama, Maine and Tennessee enrollments
  • 18 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Mccd Psychiatry Services PLLC
862 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311
Mainegeneral Medical Center
1,179 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES 3

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

MARY LANE GOULD-HARTLINE APRN BC CEDS
Psychiatry & Neurology (Psychiatry)
2803 GREYSTONE COMMERCIAL BLVD STE 12
HOOVER, AL 35242
Shelby County (205) 968-1227
PSYCHIATRY 280 COUNSELING SERVICES INC
Clinical Nurse Specialist (Psychiatric/Mental Health)
2803 GREYSTONE COMMERCIAL BLVD STE 12
BIRMINGHAM, AL 35242
Shelby County (205) 968-1227
PSYCHIATRY 280, P.C.
Psychiatry & Neurology (Psychiatry)
2803 GREYSTONE COMMERCIAL BLVD STE 12
BIRMINGHAM, AL 35242
Shelby County (205) 968-1227

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 Samuel Polek's NPI number?

The NPI number for Samuel Polek is 1790004646. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Samuel Polek located?

Samuel Polek practices at 2803 Greystone Commercial Blvd Ste 12, Hoover, AL 35242. The listed phone number is (205) 968-1228.

What is Samuel Polek's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Polek enrolled in Medicare?

Yes. Samuel Polek 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 Samuel Polek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Polek reassigns Medicare benefits to 6 organizations: University Of Alabama At Birmingham (Birmingham, AL), Houston County Healthcare Authority (Troy, AL), Family Care Center, LLC (Franklin, TN), Mccd Fl Psychiatry Services PA (Jacksonville, FL), Mccd Psychiatry Services PLLC (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Samuel Polek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Polek accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Samuel Polek 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.

When was this NPI record last updated?

The NPPES record for Samuel Polek was last updated on November 29, 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.