IRINA Y POLANSKY (PA-C) – Physician Assistant, NPI 1801866462

IRINA Y POLANSKY (PA-C) is a healthcare provider. based in Belleville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085002586 (IL). The NPI Number for IRINA Y POLANSKY (PA-C) is 1801866462

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
IRINA Y POLANSKY (PA-C)
NPI
1801866462
Phone
(618) 257-1297
Address
130 LINCOLN PLACE CT
Enumeration Date
25 January 2006
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182571297
Graduation Year
2005 (21 years ago)
PAC ID
3779503669
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20051207000340
Address ID
IL622215884BE130XXCTXX401
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for IRINA Y POLANSKY (PA-C)

  • 130 LINCOLN PLACE CT

    BELLEVILLE, IL 622215884

    Phone: (618) 257-1297

    Fax: (618) 257-1529

    Type: Mailing

  • 130 LINCOLN PLACE CT STE 130

    BELLEVILLE, IL 622215884

    Phone: (618) 257-1297

    Fax: (618) 257-1529

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $1,961.

Total Amount is formed as General ($1,961) + Research ($0) + Ownership ($0) = $1,961.

Last reported payment date: 2024-11-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($683).

Total Amount

$1,961

General + Research + Ownership

Payments

114

Total payment records

General Amount

$1,961

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-12-07

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
I20051207000340IPhysician AssistantILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes303195$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22824$0
99214Established patient office or other outpatient visit, 30-39 minutes7457$0
20610Aspiration and/or injection of fluid from large joint3922$0
81002Urinalysis, manual test2919$0
View full utilization report →

Insurance plans in this area (ZIP 62221)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

Is there an official ID for IRINA Y POLANSKY (PA-C) in U.S. healthcare records?
The official identifier for IRINA Y POLANSKY (PA-C) is NPI 1801866462.
Would IRINA Y POLANSKY (PA-C) appear as active to a payer?
You can treat IRINA Y POLANSKY (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe IRINA Y POLANSKY (PA-C)'s focus?
For IRINA Y POLANSKY (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for IRINA Y POLANSKY (PA-C)?
Travel planning: use Belleville, Illinois as the reference point for IRINA Y POLANSKY (PA-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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