CORI A. POLONSKI MD
NPI 1962061804
Psychiatry & Neurology - Neurology in Salt Lake City, UT

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
175 N MEDICAL DR, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Mar 9, 2023, Jun 12, 2019 (3 updates tracked since 2019).

About Cori A. Polonski Md NPPES

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

CORI A. POLONSKI MD (NPI 1962061804) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (13289385-1205) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1962061804
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCORI A. POLONSKICredential: MD
Location Address175 N MEDICAL DRSalt Lake City, UT 84112-1103
Mailing Address175 N Medical DrSalt Lake City, UT 84112-1103 · (801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1962061804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in UT · 13289385-1205✔ Licensed in SC · 176609
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
175 N MEDICAL DR, Salt Lake City, UT 84112

Other Names 1

Former Name (1)Cori Cummings

Secondary Practice Location 1

Location 1169 Ashley Ave Rm 202Charleston, SC 29425-8905 · Phone (843) 792-3221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cori A. Polonski 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 ID840608246
PECOS Enrollment IDI20240822000759
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cori Polonski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Physical Therapist
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Nurse Practitioner
175 N MEDICAL DR
SALT LAKE CITY, UT 84112

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 Cori Polonski's NPI number?

The NPI number for Cori Polonski is 1962061804. It was assigned to this individual provider in the NPPES registry on June 12, 2019. The provider is also known as Cori Cummings.

Where is Cori Polonski located?

Cori Polonski practices at 175 N Medical Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Cori Polonski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Cori Polonski enrolled in Medicare?

Yes. Cori Polonski 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.

Which organizations bill Medicare for Cori Polonski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cori Polonski reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and University Of Pittsburgh Physicians (East Liverpool, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cori Polonski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cori Polonski affiliated with any hospitals?

According to CMS data, Cori Polonski is affiliated with Upmc Mercy, Upmc Northwest, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Cori Polonski was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.