DONALD POLLOCK (MD.) – Psychiatry Physician, NPI 1114947074
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DONALD POLLOCK (MD.)
PO BOX 44230
JACKSONVILLE, FL 322314230
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
87010 PROFESSIONAL WAY
YULEE, FL 320973400
Phone: (904) 376-3800
Fax: (904) 396-8969
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 322078207
Phone: (904) 376-3800
Fax: (904) 396-8969
Type: Location
87010 Professional Way
Yulee, FL 320973400
Phone: (904) 376-3800
Fax: (904) 390-7403
Type: Location
524 Skymarks Dr Unit 5
Jacksonville, FL 322187254
Phone: (904) 376-3800
Fax: (904) 390-7393
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $27 |
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: 2010-02-25
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 |
|---|---|---|---|---|
| I20100225000445 | I | Psychiatry | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32231)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 141 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| P S Y C H I A T R Y | GA | |
| - | FL | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Psychologist | FL | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | TX |
Reviews
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