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Active NPI 1013558188 Individual Practitioner Male Practitioner

Gustavo Emil Polanco Hernandez , PA

Physician Assistant • Bronx, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Gustavo Polanco Hernandez, PA is a certified Physician Assistant practicing in Bronx, NY. With approximately 7 years of clinical experience since completing medical education in 2019, Gustavo Polanco Hernandez delivers high-quality medical care to the local community at 2015 GRAND CONCOURSE.

Gustavo Polanco Hernandez maintains professional affiliations with Essen Medical Urgicare, Pllc, Essen Medical Associates, Pc, Shakespeare Operating Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, telephone medical discussion with physician, 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

2015 Grand Concourse

Bronx, NY 104534303

Telephone 7185837736
Fax 7185376180
Associated Practice Facility / Clinic
🏢 Essen Medical Associates, Pc Facility NPI 1366418709

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
36.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polanco Hernandez (7 Years) 7 Yrs
Bronx Specialty Average (10.3 Years) 10.3 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
139 48 $94.00 $61.60
99442 Telephone medical discussion with physician, 11-20 minutes
65 47 $136.00 $89.27
99213 Established patient office or other outpatient visit, typically 15 minutes
24 15 $144.00 $89.98
99497 Advance care planning, first 30 minutes
17 17 $132.00 $80.27

Medical Specialties & State Licenses

CMS Verified: 2023-01-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 029357

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.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License FL PA9112633

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Psychiatry & Neurology - Psychiatry

NUCC Taxonomy Code: 2084P0800X

State License FL PA9112633

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9112633

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.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License FL PA9112633

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9112633

Definition to come...

Hospital & Practice Group Affiliations

Essen Medical Urgicare, Pllc

2202 Grand Concourse, Bronx, NY 104572000

Phone: 7183297200

Shakespeare Operating Llc

899 Westchester Ave, Bronx, NY 104594089

Phone: 6463501633

Essen Medical Associates, Pc

2505 Grand Ave, Bronx, NY 104684206

Phone: 7182951400

Essen Medical Urgicare, Pllc

1550 Dr Martin L King Jr Blvd, Bronx, NY 104521503

Phone: 3472692366

Shakespeare Operating Llc

1250 Shakespeare Ave, Bronx, NY 104523012

Phone: 6463501633

Shakespeare Operating Llc

5235 Broadway, Bronx, NY 104637636

Phone: 6463501633

Practice Associates & Co-Workers

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

40 Associated Practitioners
Joy Shakelton , WHNP-BC, CRNP

Nurse Practitioner - Women's Health

NPI 1003334822

Women's Health Nurse Practitioner (Board Certified), Certified Registered Nurse Practitioner

Catherine Donkoh , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003529298

Nurse Practitioner

Jose Speck Iglesias

Nurse Practitioner - Family

NPI 1003602285
Adil Mehmood

Physician Assistant

NPI 1003652850
Jennifer Germain , NP

Nurse Practitioner - Adult Health

NPI 1003673054

Nurse Practitioner

Blessing Nweke , NP

Nurse Practitioner - Family

NPI 1013605708

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location January 12, 2023

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7185837736)

📍
Updated Business Mailing Address January 12, 2023

Registered at 2626 HALPERIN AVE, BRONX, NY 104612631 (Tel: 7186180401)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2023

Internal Medicine (License #PA9112633 in FL)

📍
Updated Practice Location February 24, 2022

Registered at 2950 CLEVELAND CLINIC BLVD, WESTON, FL 333313609 (Tel: 9546595000)

📍
Updated Business Mailing Address February 24, 2022

Registered at 6120 REESE RD APT 307, DAVIE, FL 333141258 (Tel: 7863170766)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Physician Assistant (License #PA9112633 in FL)

NPI Profile Active September 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2019

Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 3055851111)

📍
Updated Business Mailing Address September 30, 2019

Registered at 8455 NW 189TH LN APT 1506, HIALEAH, FL 330157239 (Tel: 7863170766)

👤
Provider Name / Credentials Updated September 30, 2019

Recorded as GUSTAVO POLANCO HERNANDEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2019

Family Medicine (License #PA9112633 in FL)

🟢
Initial NPI Registration & Enumeration September 30, 2019

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: 1013558188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2019
Last Update: January 12, 2023
Sole Proprietor: No

Mailing Address

2626 Halperin Ave

Bronx, NY 104612631

Phone: 7186180401

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.