DR. DAVID JR. POLKE (M.D.) – Obstetrics & Gynecology Physician, NPI 1649234840
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
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Provider Addresses for DR. DAVID JR. POLKE (M.D.)
133, Scovill Street, Exchange Place, Waterbury, New Haven County, Connecticut, 06706, United States
SUITE 303
WATERBURY, CT 067061127
Phone: (203) 575-1811
Fax: (203) 575-1995
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($37).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $37 |
| Astellas Pharma US Inc | $32 |
| Exeltis, USA Inc. | $22 |
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: 2004-02-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040217000633 | I | Obstetrics/Gynecology | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 38 | 38 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 18 | $0 |
Insurance plans in this area (ZIP 06706)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | CT | 76830 | Ultrasound pelvis through vagina | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| Emergency Medicine | RI | |
| - | GA | |
| Physician Assistant | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| Physician Assistant | CT | |
| General Surgery, Surgical Oncology | CT |
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