Active NPI 1912980814 Individual Practitioner Male Practitioner

Dr. Ninan S Polackal , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ninan Polackal, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Polackal delivers high-quality medical care to the local community at 1 WEST BOYLSTON STREET.

Dr. Polackal is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 West Boylston Street
3rd Floor

Worcester, MA 016052138

Telephone 5083348802

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Group Inc Facility NPI 1760445373

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +13.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polackal (33 Years) 33 Yrs

Worcester Specialty Average (19.4 Years) 19.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	203	$445.00	$74.77
99213 Established patient office or other outpatient visit, typically 15 minutes	243	178	$300.00	$65.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$389.00	$49.64
G0008 Administration of influenza virus vaccine	40	37	$86.00	$32.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$639.40	$91.76
90658 Influenza vaccine, trivalent, 0.5 ml dosage	27	27	$55.00	$21.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	21	$214.00	$54.25
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$723.00	$287.70
G0009 Administration of pneumococcal vaccine	20	20	$86.00	$32.81
69210 Removal of impacted ear wax	18	16	$221.00	$45.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$556.00	$166.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	207	$280.07	$66.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	160	$412.59	$88.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$389.00	$57.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	50	50	$568.92	$271.19
G0009 Administration of pneumococcal vaccine	47	47	$86.00	$33.84
G0008 Administration of influenza virus vaccine	46	46	$86.00	$33.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	30	$214.00	$53.59
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	33	$58.00	$20.38
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$283.61	$92.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$178.00	$56.87
90662 Influenza vaccine split virus, preservative free	13	13	$186.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	191	$244.00	$69.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$389.00	$53.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	102	$359.00	$93.72
99442 Telephone medical discussion with physician, 11-20 minutes	35	30	$263.00	$95.42
G0008 Administration of influenza virus vaccine	32	32	$86.00	$33.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$178.00	$57.94
G0009 Administration of pneumococcal vaccine	27	27	$86.00	$33.91
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$58.00	$20.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$366.00	$131.69
99441 Telephone medical discussion with physician, 5-10 minutes	14	13	$160.00	$59.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$214.00	$56.03
69210 Removal of impacted ear wax	12	11	$221.00	$50.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$359.00	$117.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	276	171	$241.28	$66.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$386.42	$47.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	111	$353.77	$86.67
99442 Telephone medical discussion with physician, 11-20 minutes	46	35	$263.00	$96.79
G0009 Administration of pneumococcal vaccine	33	33	$85.27	$19.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$145.00	$55.79
G0008 Administration of influenza virus vaccine	28	27	$84.29	$19.48
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	27	$43.29	$19.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	20	$214.00	$56.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$265.42	$125.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$478.69	$99.62
90670 Pneumococcal vaccine for injection into muscle	14	14	$481.00	$240.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	139	$214.00	$79.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	124	$316.00	$114.91
99442 Telephone medical discussion with physician, 11-20 minutes	132	87	$234.36	$80.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$348.00	$123.65
G0008 Administration of influenza virus vaccine	55	54	$74.00	$18.98
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	55	54	$39.00	$18.95
99441 Telephone medical discussion with physician, 5-10 minutes	44	37	$142.95	$48.76
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	25	24	$78.32	$14.56
G0009 Administration of pneumococcal vaccine	19	19	$74.00	$18.93
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	11	$166.00	$43.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	12	$131.00	$46.44
90670 Pneumococcal vaccine for injection into muscle	14	14	$420.00	$224.48
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$317.38	$115.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$214.00	$56.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$429.00	$155.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	179	$212.36	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	102	$313.62	$114.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$348.00	$122.78
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	51	50	$38.92	$17.48
G0008 Administration of influenza virus vaccine	50	49	$73.70	$17.52
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	43	26	$130.86	$46.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	24	$203.10	$72.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	13	$166.00	$43.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	19	$203.00	$72.25
G0009 Administration of pneumococcal vaccine	22	22	$74.00	$17.76
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	15	$130.33	$46.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$214.00	$56.24
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	13	$384.00	$136.41
90670 Pneumococcal vaccine for injection into muscle	15	15	$420.00	$209.02
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$488.46	$174.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	174	$199.00	$76.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	97	$296.00	$112.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$348.00	$122.09
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	59	$38.00	$17.48
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	58	27	$125.00	$46.39
G0008 Administration of influenza virus vaccine	57	57	$69.00	$23.21
G0009 Administration of pneumococcal vaccine	31	31	$69.00	$23.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	20	$192.00	$72.25
90670 Pneumococcal vaccine for injection into muscle	24	24	$392.00	$199.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	14	$125.00	$46.35
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$359.00	$135.53
99306 Initial nursing facility visit, typically 45 minutes per day	16	13	$458.00	$173.26
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$131.00	$17.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	380	166	$199.00	$75.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$346.60	$115.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	87	$296.00	$109.65
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	76	30	$124.45	$45.79
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	53	51	$38.00	$17.48
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	52	21	$124.65	$45.94
G0008 Administration of influenza virus vaccine	51	49	$69.00	$28.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	17	$191.50	$70.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	21	$359.00	$133.47
G0009 Administration of pneumococcal vaccine	20	20	$69.00	$28.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	14	$191.60	$70.98
90670 Pneumococcal vaccine for injection into muscle	17	17	$392.00	$187.45
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$458.00	$170.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$501.62	$176.33
69210 Removal of impacted ear wax	12	12	$221.00	$50.84

Medical Specialties & State Licenses

CMS Verified: 2020-11-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 205191

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2017211 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

1 W Boylston St, Worcester, MA 016051274

Phone: 5088542636

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Luna Hidaya , MD

Internal Medicine

NPI 1063809002

Doctor of Medicine (M.D.)

Dr. Daniel Massarelli , MD

Internal Medicine

NPI 1467435131

Doctor of Medicine (M.D.)

Mackenzie Rogers , NP

Nurse Practitioner

NPI 1578431623

Nurse Practitioner

Dr. Nosheen Ishaque , MD

Internal Medicine

NPI 1912273087

Doctor of Medicine (M.D.)

Dr. Ursula Collinson , MD

Internal Medicine

NPI 1932182847

Doctor of Medicine (M.D.)

Dr. Michael Galica , MD

Internal Medicine

NPI 1972586733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 21, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2009

Registered at 1 WEST BOYLSTON STREET, 3RD FLOOR, WORCESTER, MA 016052138 (Tel: 5083348802)

📍

Updated Business Mailing Address April 21, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 21, 2009

Recorded as NINAN POLACKAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2009

Internal Medicine (License #205191 in MA)

🟢

Initial NPI Registration & Enumeration November 23, 2005

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: 1912980814

Entity Type:

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

Enumeration Date: November 23, 2005

Last Update: November 25, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.