GARY POLSFUSS (M.D.) – Emergency Medicine Physician, NPI 1700825205

GARY POLSFUSS (M.D.) is a healthcare provider. based in Manhattan beach, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A066536 (CA). The NPI Number for GARY POLSFUSS (M.D.) is 1700825205

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
GARY POLSFUSS (M.D.)
NPI
1700825205
Phone
(310) 379-2134
Address
111 N SEPULVEDA BLVD
Enumeration Date
6 June 2006
Last Update Date
25 July 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
6194650711
Graduation Year
1997 (29 years ago)
PAC ID
4789620931
Group Practice PAC ID
7113215146
Professional Enrollment ID
I20050628001354
Address ID
CA919423019LA5555XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for GARY POLSFUSS (M.D.)

  • 111, Sepulveda Boulevard, Manhattan Beach, Los Angeles County, California, 90266, United States

    SUITE 210

    MANHATTAN BEACH, CA 902666861

    Phone: (310) 379-2134

    Fax: (310) 379-4856

    Type: Mailing

  • Paradise Valley Hospital, 2400, East 4th Street, National City, San Diego County, California, 91950, United States

    EMERGENCY DEPARTMENT

    NATIONAL CITY, CA 919502026

    Phone: (619) 470-4321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050628001354IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only158148$0
99285Emergency department visit with high level of medical decision making144135$0
99284Emergency department visit with moderate level of medical decision making9489$0
99291Critical care, first 30-74 minutes6966$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5956$0
View full utilization report →

Insurance plans in this area (ZIP 90266)

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Provider's Procedures

GARY POLSFUSS (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1111
EMERGENCY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report294278

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113215146View full group profile
NameSpecialtyState
Emergency MedicineTX
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineNC

Reviews

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Frequently asked questions

Where can patients find GARY POLSFUSS (M.D.)'s NPI?
You can confirm GARY POLSFUSS (M.D.) with NPI 1700825205; it appears in the national provider directory.
Does this profile mean GARY POLSFUSS (M.D.) is currently active?
Yes — GARY POLSFUSS (M.D.) appears active in the national provider directory.
Does GARY POLSFUSS (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for GARY POLSFUSS (M.D.). Clinical services aligned with this taxonomy classification.
Does GARY POLSFUSS (M.D.) practice in California?
You will see Manhattan Beach, California on file for GARY POLSFUSS (M.D.) alongside any extra practice locations.
How can I contact GARY POLSFUSS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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