DR. MARC A POLACCO (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1689084022
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 OTOLARYNGOLOGY in IA
Provider Addresses for DR. MARC A POLACCO (MD)
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-2177
Fax: (319) 356-4547
Type: Location
500 E Market St
Iowa City, IA 522452633
Phone: (319) 339-3551
Fax: (319) 248-7945
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 356-3949
Type: Location
902 PONDER PLACE CT
EVANS, GA 308093115
Phone: (706) 364-3223
Type: Mailing
1750 JORDAN ST
NORTH LIBERTY, IA 523178089
Phone: (319) 569-3444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($27).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $27 |
| Medline Industries LP | $26 |
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: 2024-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241107001085 | I | Otolaryngology | WI | 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 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
Reviews
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