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MR. ILIR POLOVINA NP-C
NPI 1952540999
Nurse Practitioner in Saint Louis, MO

Active since February 16, 2009PECOS Enrolled
12345 W BEND DR STE 200, SAINT LOUIS, MO 63128(314) 843-8000(314) 843-3004 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Ilir Polovina Np-c NPPES

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

MR. ILIR POLOVINA NP-C (NPI 1952540999) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2003005393) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952540999
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. ILIR POLOVINACredential: NP-C
Location Address12345 W BEND DR STE 200Saint Louis, MO 63128-2253
Mailing Address12345 W Bend Dr Ste 200Saint Louis, MO 63128-2253 · (314) 843-8000 · Fax (314) 843-3004
Phone(314) 843-8000
Fax(314) 843-3004
Sole ProprietorNo
Enumeration DateFebruary 16, 2009
✔ NPI 1952540999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2003005393
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12345 W BEND DR STE 200, Saint Louis, MO 63128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Mr. Ilir Polovina Np-c 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
153 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
99 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%24 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MRS. JESSICA LAUREN JOHNSTON NP-C
Nurse Practitioner
12345 W BEND DR STE 200
SAINT LOUIS, MO 63128
St. Louis County (314) 843-8000

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 Ilir Polovina's NPI number?

The NPI number for Ilir Polovina is 1952540999. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Ilir Polovina located?

Ilir Polovina practices at 12345 W Bend Dr Ste 200, Saint Louis, MO 63128. The listed phone number is (314) 843-8000.

What is Ilir Polovina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ilir Polovina enrolled in Medicare?

Yes. Ilir Polovina is registered in the Medicare PECOS enrollment system.

What insurance does Ilir Polovina accept?

Health plans from UnitedHealthcare list Ilir Polovina 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 Ilir Polovina was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.