DR. GARY DAVID POLAN O.D.
NPI 1942368972
Optometrist - Vision Therapy in Pacific Palisades, CA

Q: What is Gary Polan's NPI number?

The NPI number for Gary Polan is 1942368972. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Gary Polan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Polan was last updated on December 19, 2019. 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 December 04, 2006PECOS EnrolledAccepts Medicare Assignment

970 MONUMENT ST, STE 102, PACIFIC PALISADES, CA 90272(310) 459-0055(310) 459-4070 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gary David Polan O.d. NPPES

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

DR. GARY DAVID POLAN O.D. (NPI 1942368972) is an individual vision therapy provider in Pacific Palisades, California, licensed in California (CA8007TPL) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1984).

NPPES Registry Identity

NPI1942368972

Entity TypeIndividualMale

Primary Taxonomy152WV0400X

Provider Legal NameDR. GARY DAVID POLANCredential: O.D.

Location Address970 MONUMENT ST, STE 102Pacific Palisades, CA 90272-3860

Mailing Address970 Monument St, Ste 102Pacific Palisades, CA 90272-3860 · (310) 459-0055 · Fax (310) 459-4070

Phone(310) 459-0055

Fax(310) 459-4070

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 1984

Enumeration DateDecember 4, 2006

Last NPPES UpdateDecember 19, 2019

✔ NPI 1942368972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

License✔ Licensed in CA · CA8007TPL

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

970 MONUMENT ST, Pacific Palisades, CA 90272

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary David Polan O.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 ID1759492416

PECOS Enrollment IDI20121026000302

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 7

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.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

154 services147 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.

88 services57 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

66 services65 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

54 services53 patients

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.

28 services23 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90272 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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Other Providers at the Same Location NPPES 9

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

DR. ROBERTA J SMITH MD

Internal Medicine

970 MONUMENT ST, SUITE 210
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 459-4321

DR. LAWRENCE BURNS HENRY O.D.

Optometrist

970 MONUMENT ST, SUITE 204
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 454-4213

MICHAEL R BLOCK M D INC

Internal Medicine

970 MONUMENT ST, SUITE 210
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 459-4321

MRS. GENA SLOANE PRUETZ P.T.

Physical Therapist

970 MONUMENT ST, SUITE 207
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 573-9553

NASREEN BABU-KHAN M.D.

Dermatology

970 MONUMENT ST, SUITE 114
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 454-5915

DR. RAMIN MOAYERI DDS

Dentist

970 MONUMENT ST, SUITE 214
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 230-5950

A ETOILE DAVIE MD INC

Pediatrics

970 MONUMENT ST, SUITE 220
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 454-2296

MISS DEBBIE STEFFIN P.T.

Physical Therapist

970 MONUMENT ST, SUITE 207
PACIFIC PALISADES, CA 90272

Los Angeles County (310) 573-9553

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 Gary Polan's NPI number?

The NPI number for Gary Polan is 1942368972. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Gary Polan located?

Gary Polan practices at 970 Monument St Ste 102, Pacific Palisades, CA 90272. The listed phone number is (310) 459-0055.

What is Gary Polan's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Gary Polan enrolled in Medicare?

Yes. Gary Polan 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.

What insurance does Gary Polan accept?

Health plans from Providence Health Plan list Gary Polan 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 Gary Polan was last updated on December 19, 2019. 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.