Deactivated NPI 1780668061 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Stanley Polashenski , DO

Internal Medicine • Hazleton, PA

⚠️

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. Edward Polashenski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005

NPI Deactivation Date October 02, 2025

Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Polashenski, DO was a registered Internal Medicine practicing in Hazleton, PA. Throughout an active medical career spanning 20 years, Dr. Polashenski provided care at the practice location at 128 W 14TH ST until profile deactivation on 2025-10-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

128 W 14th St

Hazleton, PA 182013266

Telephone 5704557677

Fax 5704557627

Associated Practice Facility / Clinic

🏢 Edward S Polashenski Do Pc Facility NPI 1871635458

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hazleton, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

15 Specialists

Practicing in Hazleton, PA (7609 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% 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 (2021)

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	79	60	$205.00	$127.03
99213 Established patient office or other outpatient visit, typically 15 minutes	76	48	$140.00	$89.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	42	$675.00	$109.35
45380 Biopsy of large bowel using an endoscope	38	38	$930.00	$174.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	27	$65.00	$21.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$265.00	$132.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$200.00	$100.99
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$775.00	$178.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$170.00	$70.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$775.00	$183.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$585.00	$107.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1045.00	$250.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$390.00	$195.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	76	$140.00	$73.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	63	$675.00	$126.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	47	$205.00	$107.96
45380 Biopsy of large bowel using an endoscope	44	44	$930.00	$180.07
36415 Insertion of needle into vein for collection of blood sample	37	35	$10.00	$2.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$585.00	$123.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$149.60	$72.62
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$754.80	$179.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$200.00	$104.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$122.06	$39.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$265.00	$138.27
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$171.67	$72.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.00	$106.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	13	$1045.00	$261.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$390.00	$203.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	85	$140.15	$72.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	61	$106.21	$71.59
36415 Insertion of needle into vein for collection of blood sample	111	80	$10.36	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	86	$205.35	$104.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	97	94	$539.69	$123.88
45380 Biopsy of large bowel using an endoscope	79	79	$631.77	$173.93
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$573.24	$186.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$399.66	$196.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$349.26	$119.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	12	$9.65	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	12	$65.00	$16.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$721.75	$263.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$205.21	$106.55
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$508.91	$191.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$766.47	$190.95
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$150.00	$95.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	293	156	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	168	$209.00	$103.32
99213 Established patient office or other outpatient visit, typically 15 minutes	233	158	$142.00	$70.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	91	$105.00	$71.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	112	107	$500.00	$123.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	73	$400.00	$192.73
45380 Biopsy of large bowel using an endoscope	66	66	$550.00	$182.75
45378 Diagnostic exam of large bowel using a flexible endoscope	60	60	$543.00	$178.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	24	$54.56	$19.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$210.00	$103.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	20	$7.00	$1.96
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	47	$250.00	$120.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$435.00	$188.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$614.00	$260.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	17	$150.00	$95.68
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$766.00	$188.24
43249 Balloon dilation of esophagus using an endoscope	17	14	$345.00	$149.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$322.00	$160.60
G0008 Administration of influenza virus vaccine	15	15	$35.00	$19.57
90662 Influenza vaccine split virus, preservative free	14	14	$58.00	$52.30

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	350	212	$209.00	$103.31
99213 Established patient office or other outpatient visit, typically 15 minutes	331	244	$142.00	$70.18
36415 Insertion of needle into vein for collection of blood sample	275	156	$15.00	$2.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	132	127	$500.00	$120.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	109	$400.00	$196.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	77	$105.00	$70.16
45380 Biopsy of large bowel using an endoscope	107	106	$550.00	$171.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	26	$48.00	$24.17
45378 Diagnostic exam of large bowel using a flexible endoscope	63	63	$543.00	$182.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$210.00	$104.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	25	$7.00	$3.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$322.00	$156.33
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$250.00	$116.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	36	36	$435.00	$187.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$614.00	$258.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$766.00	$186.76
G0008 Administration of influenza virus vaccine	20	20	$30.00	$24.05
43249 Balloon dilation of esophagus using an endoscope	20	19	$345.00	$152.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	17	$150.00	$102.31
90662 Influenza vaccine split virus, preservative free	16	16	$71.31	$48.05
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$159.09	$99.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$195.45	$134.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA 05004597L

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Robert Yamulla , MD

Internal Medicine - Gastroenterology

NPI 1376527655

Doctor of Medicine (M.D.)

Allison Rostocki , CRNP

Nurse Practitioner - Adult Health

NPI 1396170320

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

⚠️

NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

📍

Updated Business Mailing Address February 19, 2020

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311 (Tel: 4848844500)

✅

NPI Profile Active March 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2014

Registered at 128 W 14TH ST, HAZLETON, PA 182013266 (Tel: 5704557677)

📍

Updated Business Mailing Address March 29, 2014

Registered at PO BOX 1347, KINGSTON, PA 187040347 (Tel: 5702888881)

👤

Provider Name / Credentials Updated March 29, 2014

Recorded as EDWARD POLASHENSKI, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2014

Internal Medicine (License #05004597L in PA)

🟢

Initial NPI Registration & Enumeration December 01, 2005

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. Edward Polashenski. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1780668061

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: March 29, 2014

Deactivation Date: October 02, 2025

Update or Correct Profile

Mailing Address

Po Box 1347

Kingston, PA 187040347

Phone: 5702888881

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.