JUAN GUSTAVO POLO MD
NPI 1952399669
Internal Medicine in Louisville, KY

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
234 E GRAY ST, STE. 670, LOUISVILLE, KY 40202(502) 629-4525(502) 629-4529 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Juan Gustavo Polo Md NPPES

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

JUAN GUSTAVO POLO MD (NPI 1952399669) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (36067) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1952399669
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUAN GUSTAVO POLOCredential: MD
Location Address234 E GRAY ST, STE. 670Louisville, KY 40202-1900
Mailing Address234 E Gray St, Ste. 670Louisville, KY 40202-1900 · (502) 629-4525 · Fax (502) 629-4529
Fax(502) 629-4529
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateOctober 7, 2005
Last NPPES UpdateFebruary 13, 2014
NPI 1952399669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 36067
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

234 E GRAY ST, Louisville, KY 40202

Other Identifiers 17

Other200489040IN · Anthem Indiana Medicaid- Norton Icc
OtherP00362331KY · Rrmcr - Nicc
Medicaid200489040IN
Other5832707KY · Aetna
Medicare PIN1361965KY
Medicare PIN196290HHIN
Other017376KY · Siho - Norton Icc
Medicaid64017098KY
Other002045573-002United Healthcare
Other200489040KY · Md Wise- Norton Icc
Other1128117KY · Passport
OtherP00838101IN · Rrmcr - Nicc
Medicare PIN1847101KY
Other000000381954KY · Anthem - Norton Icc
Other200489040KY · Healthy Indiana Plan- Norton Icc
Other31K4, 000000179689KY · Anthem
Medicare UPINH24902KY

Accepted 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

Juan Gustavo Polo 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.

PECOS PAC ID1254393283
PECOS Enrollment IDI20041101001053, I20060207000838
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 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.

Established patient office or other outpatient visit, 30-39 minutes 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.
144 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
43 services30 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims31 services$5.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
General Practice
234 E GRAY ST, STE 334-B
LOUISVILLE, KY 40202
Internal Medicine (Infectious Disease)
234 E GRAY ST, 652
LOUISVILLE, KY 40202
Family Medicine
234 E GRAY ST, SUITE 364
LOUISVILLE, KY 40202
Internal Medicine (Cardiovascular Disease)
234 E GRAY ST, SUITE 554
LOUISVILLE, KY 40202
Internal Medicine (Rheumatology)
234 E GRAY ST, SUITE 328
LOUISVILLE, KY 40202
Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
Pediatrics (Pediatric Pulmonology)
234 E GRAY ST, SUITE 270
LOUISVILLE, KY 40202

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 Juan Polo's NPI number?

The NPI number for Juan Polo is 1952399669. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Juan Polo located?

Juan Polo practices at 234 E Gray St Ste. 670, Louisville, KY 40202. The listed phone number is (502) 629-4525.

What is Juan Polo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Juan Polo enrolled in Medicare?

Yes. Juan Polo 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 Juan Polo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Juan Polo 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 Juan Polo affiliated with any hospitals?

According to CMS data, Juan Polo is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Juan Polo was last updated on February 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.