KEVIN POLACEK MD
NPI 1811458342
Hospitalist in Montgomery, OH
About Kevin Polacek Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN POLACEK MD (NPI 1811458342) is an individual hospitalist provider in Montgomery, Ohio, licensed in Ohio (35.142894) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Kevin Polacek 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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Polacek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 1,102 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MONTGOMERY, OH 45242
MONTGOMERY, OH 45242
MONTGOMERY, OH 45242
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 Kevin Polacek's NPI number?
The NPI number for Kevin Polacek is 1811458342. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Kevin Polacek located?
Kevin Polacek practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-2246.
What is Kevin Polacek's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Kevin Polacek enrolled in Medicare?
Yes. Kevin Polacek 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 organization bills Medicare for Kevin Polacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Polacek reassigns Medicare benefits to Trihealth H LLC (Cincinnati, OH). The 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 Kevin Polacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Polacek accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kevin Polacek 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 Kevin Polacek affiliated with any hospitals?
According to CMS data, Kevin Polacek is affiliated with Good Samaritan Hospital and Bethesda North.
When was this NPI record last updated?
The NPPES record for Kevin Polacek was last updated on July 21, 2022. 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.
# Kevin Polacek, MD · NPI 1811458342
Hospitalist physician in Montgomery, Ohio. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1811458342 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 35.142894 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10500 MONTGOMERY RD, Montgomery, OH 45242-4402
- **Phone:** (513) 865-2246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Trihealth H LLC (NPI 1548695638, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811458342) · Data from the CMS NPPES public registry.