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Deactivated NPI 1609809839 Deactivated / Inactive NPI Male Practitioner

Dr. Van N Polglase , MD

Orthopaedic Surgery • Fresno, CA

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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. Van Polglase has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 09, 2006
NPI Deactivation Date April 20, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Van Polglase, MD was a registered Orthopaedic Surgery practicing in Fresno, CA. Throughout an active medical career spanning 16 years, Dr. Polglase provided care at the practice location at 1159 W SAMPLE AVE until profile deactivation on 2022-04-20.

Historical Medicare Part B clinical services included replacement of knee joint, both sides of knee. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1159 W Sample Ave

Fresno, CA 937112028

Telephone 5594397888
Fax 5594356887

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
50 Specialists

Practicing in Fresno, CA (2527 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
19 18 $3800.00 $213.61

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA C33735

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 20, 2022

Record deactivated on April 20, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1159 W SAMPLE AVE, FRESNO, CA 937112028 (Tel: 5594397888)

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Updated Business Mailing Address July 08, 2007

Registered at 1159 W SAMPLE AVE, FRESNO, CA 937112028 (Tel: 5594397888)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VAN POLGLASE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #C33735 in CA)

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Initial NPI Registration & Enumeration July 09, 2006

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

NPI Number: 1609809839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2006
Last Update: July 08, 2007
Deactivation Date: April 20, 2022

Mailing Address

1159 W Sample Ave

Fresno, CA 937112028

Phone: 5594397888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.