DR. THOMAS M POLOVITZ MD
NPI 1871685206
Family Medicine in Brainerd, MN

Q: What is Thomas Polovitz's NPI number?

The NPI number for Thomas Polovitz is 1871685206. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Q: What is Thomas Polovitz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Polovitz was last updated on December 28, 2009. 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 30, 2006PECOS Enrolled

722 NW 7TH ST, BRAINERD, MN 56401(218) 855-1115(218) 855-1183 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas M Polovitz Md NPPES

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

DR. THOMAS M POLOVITZ MD (NPI 1871685206) is an individual family medicine provider in Brainerd, Minnesota, licensed in North Dakota (4117) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871685206

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS M POLOVITZCredential: MD

Location Address722 NW 7TH STBrainerd, MN 56401-2912

Mailing Address722 Nw 7th StBrainerd, MN 56401-2912 · (218) 855-1115 · Fax (218) 855-1183

Phone(218) 855-1115

Fax(218) 855-1183

Sole ProprietorNo

Enumeration DateSeptember 30, 2006

Last NPPES UpdateDecember 28, 2009

✔ NPI 1871685206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · 4117

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

722 NW 7TH ST, Brainerd, MN 56401

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Other Identifiers 2

Medicare UPIND26220

Medicare PIN12473ND

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. Thomas M Polovitz Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

NANCY RAE WADSTEN APRN, FNP-C

Nurse Practitioner