Dr. Prido J Polanco , MD
General Practice • Bisbee, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prido Polanco has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Prido Polanco, MD was a registered General Practice practicing in Bisbee, AZ. Throughout an active medical career spanning 13 years, Dr. Polanco provided care at the practice location at 101 COLE AVE until profile deactivation on 2018-12-12.
Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
101 Cole Ave
Bisbee, AZ 856031327
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Bisbee, AZ
Practicing in Bisbee, AZ (259 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99231
Follow-up hospital inpatient care per day, typically 15 minutes
|
25 | 11 | $122.85 | $37.35 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Pediatrics
Pediatric Nurse Practitioner
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 12, 2018
NPI status registered as active in NPPES database
Registered at 101 COLE AVE, BISBEE, AZ 856031327 (Tel: 5204326481)
Registered at 101 COLE AVE, BISBEE, AZ 856031327 (Tel: 5204326481)
Recorded as PRIDO POLANCO, MD
General Practice (License #13131 in AZ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
101 Cole Ave
Bisbee, AZ 856031327
Phone: 5204326481
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