Active NPI 1811982671 Individual Practitioner Male Practitioner

Dr. Edward Phillips Polack , MD

Surgery - Plastic and Reconstructive Surgery • Wheeling, WV

Professional Overview & Biography Verified Profile Summary

Dr. Edward Polack, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Wheeling, WV. Practice services are available at 1 MEDICAL PARK under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park
Suite 704

Wheeling, WV 26003

Telephone 3042433134

Fax 3042433834

Associated Practice Facility / Clinic

🏢 Wheeling Hospital Inc Facility NPI 1104821305

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Wheeling, WV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 41.0 Yrs

State Avg: 28.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Wheeling, WV (17 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	46	$148.00	$61.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$182.00	$76.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$209.73	$91.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	67	$148.26	$63.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$182.00	$80.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$214.00	$93.45
11042 Removal of skin and tissue, 20.0 sq cm or less	19	15	$178.00	$57.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$293.00	$128.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$84.00	$34.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$192.75	$76.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$169.20	$81.53
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$114.23	$64.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$293.00	$130.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	72	$72.00	$66.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$118.00	$82.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$124.00	$69.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$176.00	$100.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	133	$72.00	$50.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$118.00	$74.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$124.00	$71.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$224.00	$137.26
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$167.00	$101.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	152	$72.16	$49.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$118.00	$75.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	23	$68.00	$38.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$124.00	$67.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	474	258	$72.00	$48.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	26	$68.00	$37.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$118.00	$71.11
11100 Biopsy of single growth of skin and/or tissue	38	38	$53.84	$40.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	17	$97.00	$31.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$197.00	$123.49
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	14	$114.00	$43.81
11101 Biopsy of each additional growth of skin and/or tissue	21	13	$28.00	$24.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$43.00	$24.21
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$107.00	$31.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	701	278	$72.00	$49.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$119.08	$74.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	31	$66.31	$38.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$197.00	$126.54
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	56	33	$98.71	$30.83
11100 Biopsy of single growth of skin and/or tissue	53	52	$72.49	$37.81
11101 Biopsy of each additional growth of skin and/or tissue	45	18	$26.07	$24.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$43.00	$24.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	33	22	$123.82	$40.28
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	31	21	$126.00	$41.30
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	27	21	$78.00	$67.10
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	22	$107.00	$26.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$124.00	$69.93
11400 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs	26	20	$100.00	$58.07
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	12	$131.00	$44.42
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	17	$77.40	$27.04
11042 Removal of skin and tissue, 20.0 sq cm or less	19	12	$87.00	$60.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$16.00	$8.91
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$130.86	$93.82

Medical Specialties & State Licenses

CMS Verified: 2020-06-03

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WV 11955

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License OH 35047399

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License WV 11955

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License OH 35047399

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0114270000 (WV)

Medicaid State Provider ID

0415214 (OH)

Commercial Insurance / Payer ID Hmo

11955

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kade Morrison

Physician Assistant

NPI 1184431074

Charity May , FNP-BC

Nurse Practitioner

NPI 1316457476

Family Nurse Practitioner (Board Certified)

Jennifer Taylor , PA

Physician Assistant

NPI 1396896080

Physician Assistant

Sunita Mahabir

Student in an Organized Health Care Education/Training Program

NPI 1659868164

Tracy Bober , FNP

Nurse Practitioner - Family

NPI 1962822189

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 03, 2020

Registered at 1 MEDICAL PARK, SUITE 704, WHEELING, WV 26003 (Tel: 3042433134)

📍

Updated Business Mailing Address June 03, 2020

Registered at 1 MEDICAL PARK, SUITE 704, WHEELING, WV 26003 (Tel: 3042433134)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Surgery (License #11955 in WV)

✅

NPI Profile Active April 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2008

Registered at 40 MEDICAL PARK, SUITE 200, WHEELING, WV 260036392 (Tel: 3042420590)

📍

Updated Business Mailing Address April 14, 2008

Registered at 40 MEDICAL PARK, SUITE 200, WHEELING, WV 260036392 (Tel: 3042420590)

👤

Provider Name / Credentials Updated April 14, 2008

Recorded as EDWARD POLACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2008

Surgery (License #35047399 in OH)

🟢

Initial NPI Registration & Enumeration September 16, 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: 1811982671

Entity Type:

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

Enumeration Date: September 16, 2005

Last Update: June 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Park, Suite 704

Wheeling, WV 26003

Phone: 3042433134

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.