Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730599366 Individual Practitioner Male Practitioner

Dr. Robert Polak , MD

Surgery • Miamisburg, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Polak, MD is a certified Surgery practicing in Miamisburg, OH. With approximately 12 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2014, Dr. Polak delivers high-quality medical care to the local community at 4000 MIAMISBURG CENTERVILLE RD STE 420.

Dr. Polak is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4000 Miamisburg Centerville Rd Ste 420

Miamisburg, OH 453427615

Telephone 9374394145
Fax 9374394371
Associated Practice Facility / Clinic
🏢 Alison A Clarey Do Inc Facility NPI 1679506356

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Miamisburg, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Miamisburg, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polak (12 Years) 12 Yrs
Miamisburg Specialty Average (12.0 Years) 12.0 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
23 18 $279.00 $109.74
99213 Established patient office or other outpatient visit, typically 15 minutes
20 14 $188.00 $77.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
11 11 $685.00 $130.76

Medical Specialties & State Licenses

CMS Verified: 2025-08-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.143165

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX BP10049567

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

7740 Washngton Vlg Dr, Dayton, OH 454593994

Phone: 9374394145

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

7740 Washington Village Dr, Centerville, OH 454593994

Phone: 9374334325

Kettering Independent Medical Group Inc

4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Secondary Practice Locations

4000 Miamisburg Centerville Rd Ste 435

Miamisburg, OH 453427615

Phone: 9374335957

7740 Washington Village Dr Ste 110

Dayton, OH 454593994

Phone: 9374394145

Practice Associates & Co-Workers

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

8 Associated Practitioners
Chelsea Zastrow , APRN, FNP-C

Nurse Practitioner - Family

NPI 1073081204

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1083611792

Doctor of Osteopathic Medicine (D.O.)

Emily Nolan , PA-C

Physician Assistant

NPI 1275185480

Physician Assistant (Certified)

Peritha Garland , PA-C

Physician Assistant

NPI 1386684355

Physician Assistant (Certified)

NPI 1639162449

Doctor of Medicine (M.D.)

Jerod Grogg , PA

Physician Assistant

NPI 1639203441

Physician Assistant

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 18, 2025

Registered at 4000 MIAMISBURG CENTERVILLE RD STE 420, MIAMISBURG, OH 453427615 (Tel: 9374394145)

📍
Updated Business Mailing Address October 26, 2021

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621310)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

Surgery (License #BP10049567 in TX)

📍
Updated Practice Location August 24, 2021

Registered at 7740 WASHINGTON VILLAGE DR STE 110, DAYTON, OH 454593994 (Tel: 9374394145)

📍
Updated Business Mailing Address August 24, 2021

Registered at 7740 WASHINGTON VILLAGE DR STE 110, DAYTON, OH 454593994 (Tel: 9374394145)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2021

Surgery (License #35.143165 in OH)

NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2014

Registered at 3601 4TH ST, STOP 8312, LUBBOCK, TX 794300002 (Tel: 8067432373)

📍
Updated Business Mailing Address May 05, 2014

Registered at 3601 4TH ST, STOP 8312, LUBBOCK, TX 794300002 (Tel: 8067432373)

👤
Provider Name / Credentials Updated May 05, 2014

Recorded as ROBERT POLAK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Surgery (License #BP10049567 in TX)

🟢
Initial NPI Registration & Enumeration May 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Polak. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Polak

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1730599366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2014
Last Update: August 18, 2025
Sole Proprietor: Yes

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621310

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.