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Mauricio Polanco , PA

Physician Assistant • Temple Terrace, FL

Active NPI 1790099281 Individual Practitioner Male Practitioner
Practice location in NPPES

13020 N Telecom Pkwy
Temple Terrace, FL 336370925

Call 8139789700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13020 N Telecom Pkwy

Temple Terrace, FL 336370925

Telephone 8139789700
Fax 8135586187
Organization at the Same NPPES Address or Phone
Musculoskeletal Institute Chartered Facility NPI 1790954535

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $2,220 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Paid by Medicare

About $1,427 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Open Payments general payments, program year 2022

All general payments: $183.72 across 2 records.

By nature of payment

  • Food and Beverage: $183.72 across 2 records.

Reporting-company totals

  • Innovation Technologies Inc: $155.65 across 1 record.
  • Ethicon Inc.: $28.07 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mauricio Polanco has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mauricio Polanco as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Temple Terrace and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Mauricio Polanco are from 2019.

35 active clinicians are listed under Physician Assistant with a practice address in Temple Terrace, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Temple Terrace

8.6% of these 35 clinicians have the CMS telehealth indicator.

65.7% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $183.72.

Manufacturer Payment Nature Product Type Amount ($)
Innovation Technologies Inc
Food and Beverage
In-kind items and services
IRRISEPT General $155.65
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $28.07

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
24 24 $270.42 $92.51

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9104523

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
002622500 (FL)
Other Identifier Bcbs
Y05HF (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20110331000238

Enrollment State Jurisdiction

FL

PECOS Control ID

1456534262

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Javier Alvarado , PT

Physical Therapist

NPI 1023687688

Physical Therapist

Matthew Anderson , PT

Physical Therapist

NPI 1043906589

Physical Therapist

Shane Anderson , PA-C

Physician Assistant

NPI 1003509100

Physician Assistant (Certified)

Magdalena Bachan , PT

Physical Therapist

NPI 1043705783

Physical Therapist

Ashley Beamer , MOT, OTR, L

Occupational Therapist

NPI 1093481384

Master of Occupational Therapy, Occupational Therapist Registered, L

Nathan Bevan , PA

Physician Assistant

NPI 1023441763

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
✅
NPI Profile Active October 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2017

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370925 (Tel: 8139789700)

📍
Updated Business Mailing Address October 13, 2017

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370925 (Tel: 8139789700)

👤
Provider Name / Credentials Updated October 13, 2017

Recorded as MAURICIO POLANCO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2017

Physician Assistant (license number reported to NPPES: FL PA9104523)

✅
NPI Profile Active April 04, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 04, 2011

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370925 (Tel: 8139789700)

📍
Business Mailing Address (Initial Record) April 04, 2011

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370925 (Tel: 8139789700)

👤
Provider Name / Credentials (Initial Record) April 04, 2011

Recorded as MAURICIO POLANCO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2011

Physician Assistant (license number reported to NPPES: FL PA9104523)

🟢
Initial NPI Registration & Enumeration July 27, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790099281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2010
Last Update: October 13, 2017
Sole Proprietor: No

Other Physician Assistants in Temple Terrace

All Physician Assistants in Temple Terrace

Mailing Address

13020 N Telecom Pkwy

Temple Terrace, FL 336370925

Phone: 8139789700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.