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Dr. Edward Phillips Polack , MD

Surgery - Plastic and Reconstructive Surgery • Wheeling, WV

Active NPI 1811982671 Individual Practitioner Male Practitioner
Practice location in NPPES

1 Medical Park, Suite 704
Wheeling, WV 26003

Call 3042433134 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

1 Medical Park
Suite 704

Wheeling, WV 26003

Telephone 3042433134
Fax 3042433834
Organization at the Same NPPES Address or Phone
Wheeling Hospital Inc Facility NPI 1427378330

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

Medicare patients

100 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 – by Provider, 2024.

Medicare-allowed amount

About $10,771 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 – by Provider and Service, 2024.

Paid by Medicare

About $7,604 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 – by Provider and Service, 2024.

30-day fills

28 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

$11,178 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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.23 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2005

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)

Dr. Polack 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 Dr. Polack 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 Wheeling and West Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in West Virginia have Medicare Part B data for 2024 to make a comparison.

Medicare-allowed amount

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in West Virginia have Medicare Part B data for 2024 to make a comparison.

Paid by Medicare

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in West Virginia have Medicare Part B data for 2024 to make a comparison.

Medicare Part D prescriptions

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in West Virginia have Medicare Part D data for 2024 to make a comparison.

Part D drug cost

Not enough clinicians listed under Surgery - Plastic and Reconstructive Surgery in West Virginia have Medicare Part D data for 2024 to make a comparison.

5 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Wheeling, WV (17 in West Virginia).

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $19.23.

Manufacturer Payment Nature Product Type Amount ($)
Ethicon Inc.
Food and Beverage
In-kind items and services
VISTASEAL General $19.23

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Santyl Collagenase Clostridium Hist. 17 381 $11,051.36 12
Diclofenac Potassium Diclofenac Potassium 11 176 $127.11 —

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: 2020-06-03
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES WV 11955

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

License # reported to NPPES 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

License # reported to NPPES WV 11955

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 - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES OH 35047399

A surgeon who specializes in plastic and reconstructive surgery.

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: West Virginia State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0114270000 (WV)
Medicaid ID
0415214 (OH)
Other Identifier Hmo
11955

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY

Medicare Enrollment ID

I20050131001067

Enrollment State Jurisdiction

WV

PECOS Control ID

2961474499

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.

3 listed
Tracy Bober , FNP

Nurse Practitioner - Family

NPI 1962822189

Family Nurse Practitioner

Charity May , FNP-BC

Nurse Practitioner

NPI 1316457476

Family Nurse Practitioner (Board Certified)

Jennifer Taylor , PA

Physician Assistant

NPI 1396896080

Physician Assistant

Career & Practice History Timeline

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

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 number reported to NPPES: WV 11955)

âś…
NPI Profile Active April 14, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 14, 2008

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

📍
Business Mailing Address (Initial Record) April 14, 2008

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

👤
Provider Name / Credentials (Initial Record) April 14, 2008

Recorded as EDWARD POLACK, M.D.

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

Surgery (license number reported to NPPES: OH 35047399)

🟢
Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

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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

Other Surgery - Plastic and Reconstructive Surgery Specialists in Wheeling

Healthcare providers in Wheeling

Mailing Address

1 Medical Park, Suite 704

Wheeling, WV 26003

Phone: 3042433134

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.