DR. EDWARD PHILLIPS POLACK M.D.
NPI 1811982671
Surgery - Plastic and Reconstructive Surgery in Wheeling, WV

Q: What is Edward Polack's NPI number?

The NPI number for Edward Polack is 1811982671. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Edward Polack's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Edward Polack was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 16, 2005PECOS Enrolled

94.1/100

CMS Quality Rating

1 MEDICAL PARK, SUITE 704, WHEELING, WV 26003(304) 243-3134(304) 243-3834 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Edward Phillips Polack M.d. NPPES

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

DR. EDWARD PHILLIPS POLACK M.D. (NPI 1811982671) is an individual plastic and reconstructive surgery provider in Wheeling, West Virginia, licensed in West Virginia (11955) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811982671

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. EDWARD PHILLIPS POLACKCredential: M.D.

Location Address1 MEDICAL PARK, SUITE 704Wheeling, WV 26003

Mailing Address1 Medical Park, Suite 704Wheeling, WV 26003 · (304) 243-3134 · Fax (304) 243-3834

Phone(304) 243-3134

Fax(304) 243-3834

Sole ProprietorNo

Enumeration DateSeptember 16, 2005

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1811982671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Licenses✔ Licensed in WV · 11955✔ Licensed in OH · 35047399

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 35047399 (OH), 11955 (WV)

1 MEDICAL PARK, Wheeling, WV 26003

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Other Identifiers 3

Other11955Hmo

Medicaid0114270000WV

Medicaid0415214OH

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 (PECOS)

Dr. Edward Phillips Polack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

103 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

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.

15 services13 patients

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

MOLLY E. FISHER SLP

Speech-Language Pathologist

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

KRISTINA JOHNSON PH.D.

Behavior Analyst

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-1134

MICHAEL GARMAN ATC,PTA

Specialist/Technologist (Athletic Trainer)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

CATHERINE F SANSONE PT

Physical Therapist

1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003

Ohio County (304) 243-3124

BILLIE J JOHNSTON PT

Physical Therapist

1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003

Ohio County (304) 243-3124

ANGELA HENNIS

Nurse Practitioner (Family)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3000

MADELINE F SHIPE CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3343

TERRY L STAKE M.D.

Radiology (Diagnostic Radiology)

1 MEDICAL PARK
WHEELING, WV 26003

Ohio County (304) 243-3270

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 Edward Polack's NPI number?

The NPI number for Edward Polack is 1811982671. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Edward Polack located?

Edward Polack practices at 1 Medical Park Suite 704, Wheeling, WV 26003. The listed phone number is (304) 243-3134.

What is Edward Polack's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Edward Polack enrolled in Medicare?

Yes. Edward Polack is registered in the Medicare PECOS enrollment system.

What insurance does Edward Polack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Edward Polack 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 Edward Polack was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.