Active NPI 1760733208 Individual Practitioner Female Practitioner

Jacqueline Polach , PA

Physician Assistant • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqueline Polach, PA is a certified Physician Assistant practicing in Fresno, CA. With approximately 14 years of clinical experience since completing medical education in 2012, Jacqueline Polach delivers high-quality medical care to the local community at 1303 E HERNDON AVE.

Jacqueline Polach is affiliated with Clovis Dermatology Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1303 E Herndon Ave

Fresno, CA 937203309

Telephone 5594503000

Associated Practice Facility / Clinic

🏢 Valley Nuclear Medical Group Facility NPI 1023068798

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fresno, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +3.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

194 Specialists

Practicing in Fresno, CA (14617 Statewide)

Telehealth Adoption Rate

8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polach (14 Years) 14 Yrs

Fresno Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	633	86	$15.00	$5.97
17000 Destruction of skin growth	148	106	$172.00	$40.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	104	$119.00	$49.22
11102 Tangential biopsy of single skin lesion	102	85	$264.00	$73.45
17110 Destruction of up to 14 skin growths	81	63	$295.00	$100.83
11103 Biopsy of related skin growth, each additional growth	37	26	$142.00	$44.33
99285 Emergency department visit for life threatening or functioning severity	34	34	$1231.29	$150.61
99284 Emergency department visit with moderate level of medical decision making	23	23	$832.00	$103.59
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$194.00	$78.52
17004 Destruction of precancer skin growth, 15 or more growths	19	19	$402.00	$148.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$282.00	$95.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,400	21	$2.00	$1.62
17003 Destruction of precancer skin growth, 2-14 growths	800	122	$15.00	$6.05
17000 Destruction of skin growth	191	155	$172.00	$41.09
11102 Tangential biopsy of single skin lesion	151	131	$264.00	$76.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	120	$119.00	$49.42
17110 Destruction of up to 14 skin growths	98	81	$295.00	$102.26
11103 Biopsy of related skin growth, each additional growth	74	49	$142.00	$45.01
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$194.00	$78.57
99284 Emergency department visit with moderate level of medical decision making	37	37	$796.32	$101.99
17004 Destruction of precancer skin growth, 15 or more growths	32	26	$402.00	$150.61
99285 Emergency department visit for life threatening or functioning severity	21	21	$1167.81	$148.00
96573 Application of light by qualified health care professional to destroy precancer skin growth	16	16	$549.00	$210.00
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$200.00	$63.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	20	19	$400.00	$61.37
99284 Emergency department visit with moderate level of medical decision making	14	14	$759.43	$104.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	210	46	$15.00	$6.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	53	$119.00	$50.56
17000 Destruction of skin growth	50	48	$172.00	$42.74
11102 Tangential biopsy of single skin lesion	33	33	$264.00	$88.65
17110 Destruction of up to 14 skin growths	27	25	$295.00	$104.49
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$194.00	$81.44
11103 Biopsy of related skin growth, each additional growth	13	11	$142.00	$48.50
99283 Emergency department visit with low level of medical decision making	11	11	$381.73	$62.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	43	13	$15.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$194.00	$67.30
17000 Destruction of skin growth	15	15	$172.00	$47.60
99283 Emergency department visit with low level of medical decision making	15	15	$363.20	$56.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	19	19	$339.26	$53.22
99284 Emergency department visit with moderate level of medical decision making	14	13	$642.21	$100.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	41	41	$298.15	$57.80
99284 Emergency department visit with moderate level of medical decision making	18	18	$490.00	$110.18
99285 Emergency department visit for life threatening or functioning severity	11	11	$752.73	$162.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	47	47	$277.45	$53.00
99284 Emergency department visit with moderate level of medical decision making	37	37	$497.22	$100.47
99285 Emergency department visit for life threatening or functioning severity	30	30	$744.40	$147.63

Medical Specialties & State Licenses

CMS Verified: 2024-04-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Clovis Dermatology Inc

275 W Herndon Ave, Clovis, CA 936120204

Phone: 5593214255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Mina Handal , MD

Student in an Organized Health Care Education/Training Program

NPI 1003708926

Doctor of Medicine (M.D.)

Dr. William Etiz , DO

Anesthesiology

NPI 1003831124

Doctor of Osteopathic Medicine (D.O.)

Barbara Rogers , NP

Nurse Practitioner

NPI 1003988106

Nurse Practitioner

Thomas Fuentez , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013615723

Certified Registered Nurse Anesthetist

Dr. Derek Yip , MD

Student in an Organized Health Care Education/Training Program

NPI 1013650704

Doctor of Medicine (M.D.)

Dr. Ekta Chugh , MD

Student in an Organized Health Care Education/Training Program

NPI 1013709211

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location April 05, 2024

Registered at 1303 E HERNDON AVE, FRESNO, CA 937203309 (Tel: 5594503000)

📍

Updated Business Mailing Address April 05, 2024

Registered at 11076 E FLORENCE PEAK WAY, CLOVIS, CA 936194689 (Tel: 3035073002)

📍

Updated Business Mailing Address March 02, 2018

Registered at 1489 JOETT DR, TURLOCK, CA 953803089 (Tel: 3035073002)

👤

Provider Name / Credentials Updated March 02, 2018

Recorded as JACQUELINE POLACH, PA

✅

NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2012

Registered at 5000 HOPYARD RD, PLEASANTON, CA 945883348 (Tel: 9259241600)

📍

Updated Business Mailing Address September 24, 2012

Registered at 871 NORFOLK PINE AVE, SUNNYVALE, CA 940871172 (Tel: 3035073002)

👤

Provider Name / Credentials Updated September 24, 2012

Recorded as JACQUELINE MCNEELY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 24, 2012

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: 1760733208

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 24, 2012

Last Update: April 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11076 E Florence Peak Way

Clovis, CA 936194689

Phone: 3035073002

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.