Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Sidney Polzella

Physician Assistant โ€ข Dayton, OH

Active NPI 1255970786 Individual Practitioner Female Practitioner
Practice location in NPPES

4100 W 3rd St
Dayton, OH 454289000

Call 2686511937 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

4100 W 3rd St

Dayton, OH 454289000

Telephone 2686511937
Organization at the Same NPPES Address or Phone
Dayton Vamc Facility NPI 1518916733

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

Medicare patients

50 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $435 in 2024

The total amount Medicare approved for these services in 2024. 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $435 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ€“ by Provider and Service, 2024.

30-day fills

7,909 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$253,814 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2020

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Sidney Polzella 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 Sidney Polzella 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 Dayton and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Dayton, OH (2024, 117 clinicians with data). Median for this group: 144. Middle half: 47 to 364.

Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Dayton, OH (2024, 117 clinicians with data). Median for this group: $12,444. Middle half: $4,746 to $27,455.

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Dayton, OH (2024, 117 clinicians with data). Median for this group: $9,507. Middle half: $3,681 to $18,020.

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Dayton, OH (2024, 107 clinicians with data). Median for this group: 250. Middle half: 64 to 675.

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Dayton, OH (2024, 107 clinicians with data). Median for this group: $2,796. Middle half: $557 to $22,056.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.

250 active clinicians are listed under Physician Assistant with a practice address in Dayton, OH (5,329 in Ohio).

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

Telehealth indicator in Dayton

5.2% of these 250 clinicians have the CMS telehealth indicator.

62% of these 250 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 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 โ€“ by Provider and Service data, 2020โ€“2024; 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
83036 Hemoglobin a1c level
39 32 $38.00 $9.52
81003 Automated urinalysis test
29 28 $29.00 $2.20

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

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

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 282 20,672 $2,915.72 86
Lisinopril Lisinopril 240 16,630 $1,897.01 69
Levothyroxine Sodium Levothyroxine Sodium 184 13,371 $2,540.07 59
Losartan Potassium Losartan Potassium 165 13,052 $1,699.63 56
Amlodipine Besylate Amlodipine Besylate 163 10,441 $1,314.88 42
Hydrochlorothiazide Hydrochlorothiazide 152 11,324 $687.96 49
Omeprazole Omeprazole 139 7,902 $1,905.60 35
Simvastatin Simvastatin 130 11,297 $1,259.61 45
Metoprolol Succinate Metoprolol Succinate 115 7,570 $1,645.01 32
Rosuvastatin Calcium Rosuvastatin Calcium 113 7,080 $2,713.95 30
Pantoprazole Sodium Pantoprazole Sodium 75 4,067 $836.20 21
Famotidine Famotidine 67 3,226 $769.58 17
Albuterol Sulfate Hfa Albuterol Sulfate 65 1,994 $2,287.29 20
Glipizide Er Glipizide 59 3,704 $890.26 15
Furosemide Furosemide 57 3,810 $373.18 20
Eliquis Apixaban 56 2,400 $43,853.23 11
Sertraline Hcl Sertraline Hcl 55 3,382 $399.38 16
Gabapentin Gabapentin 54 3,074 $933.50 19
Metformin Hcl Metformin Hcl 54 3,768 $399.10 14
Metformin Hcl Er Metformin Hcl 49 3,932 $423.54 17
Trazodone Hcl Trazodone Hcl 48 2,331 $385.88 14
Alendronate Sodium Alendronate Sodium 47 3,278 $545.22 15
Potassium Chloride Potassium Chloride 46 3,346 $1,173.05 13
Tamsulosin Hcl Tamsulosin Hcl 46 2,734 $906.42 12
Metoprolol Tartrate Metoprolol Tartrate 42 2,650 $297.74 12

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.008665RX

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: State Medical Board of Ohio.
Look Up on State Board Site

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

I20200824001173

Enrollment State Jurisdiction

VT

PECOS Control ID

1850718743

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
Jason Andrus

Optometrist

NPI 1013319268
Dr. Mirna Azer , DDS

Student in an Organized Health Care Education/Training Program

NPI 1841857117

Doctor of Dental Surgery

Dr. Lucas Barton , MD

Psychiatry & Neurology - Psychiatry

NPI 1730474164

Doctor of Medicine (M.D.)

Donna Beaven , NP

Nurse Practitioner

NPI 1235222373

Nurse Practitioner

Dr. Maryann Bhat , MD

Family Medicine

NPI 1639125255

Doctor of Medicine (M.D.)

Dr. Scott Bleser , DO

Family Medicine

NPI 1811008246

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events
๐Ÿ“
Updated Practice Location September 23, 2024

Registered at 4100 W 3RD ST, DAYTON, OH 454289000 (Tel: 2686511937)

๐Ÿ“
Updated Business Mailing Address September 23, 2024

Registered at 115 WOODFIELD PL, DAYTON, OH 454594629 (Tel: 5137097980)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Physician Assistant (license number reported to NPPES: OH 50.008665RX)

๐Ÿ“
Updated Practice Location February 10, 2022

Registered at 100 RIVER ST, SPRINGFIELD, VT 051562930 (Tel: 8028868900)

๐Ÿ“
Updated Business Mailing Address February 10, 2022

Registered at 23 PETERSON RD, PLAINFIELD, NH 037815061 (Tel: 5137097980)

๐Ÿ‘ค
Provider Name / Credentials Updated February 10, 2022

Recorded as SIDNEY POLZELLA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Student in an Organized Health Care Education/Training Program

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2020

Physician Assistant (license number reported to NPPES: VT 055.0031463)

โœ…
NPI Profile Active January 01, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 01, 2020

Registered at 24 AIRPORT RD, WEST LEBANON, NH 037841663 (Tel: 6032986617)

๐Ÿ“
Business Mailing Address (Initial Record) January 01, 2020

Registered at 4 S PARK ST APT 1, LEBANON, NH 037661476

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 01, 2020

Recorded as SIDNEY STACY

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2020

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration January 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255970786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2020
Last Update: September 23, 2024
Sole Proprietor: Yes

Other Physician Assistants in Dayton

All Physician Assistants in Dayton

Mailing Address

115 Woodfield Pl

Dayton, OH 454594629

Phone: 5137097980

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.