DR. LORI G POLACEK MD
NPI 1841392636
Plastic Surgery in Johnston, RI

Q: What is Lori Polacek's NPI number?

The NPI number for Lori Polacek is 1841392636. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Lori Polacek's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Lori Polacek enrolled in Medicare?

No. Lori Polacek has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lori Polacek was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 02, 2006Opted out of Medicare · through Aug 30, 2026

1524 ATWOOD AVE, SUITE 343, JOHNSTON, RI 02919(401) 331-0202(401) 421-3353 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lori G Polacek Md NPPES

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

DR. LORI G POLACEK MD (NPI 1841392636) is an individual plastic surgery provider in Johnston, Rhode Island, licensed in Rhode Island (RI8046) and active in the NPI registry since September 2006. She has opted out of Medicare through August 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841392636

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. LORI G POLACEKCredential: MD

Location Address1524 ATWOOD AVE, SUITE 343Johnston, RI 02919

Mailing Address1524 Atwood Ave, Suite 343Johnston, RI 02919 · (401) 331-0202 · Fax (401) 421-3353

Phone(401) 331-0202

Fax(401) 421-3353

Sole ProprietorYes

Enumeration DateSeptember 2, 2006

Last NPPES UpdateJuly 8, 2010

✔ NPI 1841392636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in RI · RI8046

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1524 ATWOOD AVE, Johnston, RI 02919

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA14215RI

Medicaid9020105RI

Medicare ID-Type Unspecified249020105RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lori G Polacek Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 30, 2016 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2016

Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

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.

JUDITH ADEWUYI

Nurse Practitioner (Psychiatric/Mental Health)

1524 ATWOOD AVE
JOHNSTON, RI 02919

Providence County (401) 259-0340

DR. WILLIAM J ANDREONI OPHTHALMOLOGIST

Ophthalmology

1524 ATWOOD AVE
JOHNSTON, RI 02919

Providence County (401) 272-2110

MS. LISA A MELLOW P.T.

Physical Therapist

1524 ATWOOD AVE, DBA/ROBERT BUONANNO
JOHNSTON, RI 02919

Providence County (401) 351-6200

DR. KILEY TODER M.D.

Internal Medicine

1524 ATWOOD AVE, SUITE 333
JOHNSTON, RI 02919

Providence County (401) 421-6011

ANTHONY F TESTA M.D.

Internal Medicine (Hematology & Oncology)

1524 ATWOOD AVE, SUITE340
JOHNSTON, RI 02919

Providence County (401) 273-0220

MRS. JESSICA MARIE DIROCCO APRN, FNP-BC

Nurse Practitioner (Family)

1524 ATWOOD AVE
JOHNSTON, RI 02919

Providence County (401) 274-2910

DR. TERRY WAYNE TSCHIRLEY MD

Internal Medicine (Cardiovascular Disease)

1524 ATWOOD AVE, SUITE 226
JOHNSTON, RI 02919

Providence County (401) 273-2730

DR. ROBERT ALEXANDER MARZILLI PHD

Psychologist (Clinical)

1524 ATWOOD AVE, STE. NO. 433
JOHNSTON, RI 02919

Providence County (401) 861-2190

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 Lori Polacek's NPI number?

The NPI number for Lori Polacek is 1841392636. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Lori Polacek located?

Lori Polacek practices at 1524 Atwood Ave Suite 343, Johnston, RI 02919. The listed phone number is (401) 331-0202.

What is Lori Polacek's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Lori Polacek enrolled in Medicare?

No. Lori Polacek has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lori Polacek was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.