DR. GARY I POLYKOFF (MD) – Physical Medicine & Rehabilitation Physician, NPI 1063402352
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
298 PAIN MANAGEMENT in MA
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Provider Addresses for DR. GARY I POLYKOFF (MD)
Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 021299142
Phone: (617) 724-0287
Fax: (617) 726-2894
Type: Mailing
15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States
WAC 340 ANESTHESIA PAIN MANAGEMENT
BOSTON, MA 021143117
Phone: (617) 726-3512
Fax: (617) 726-3519
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: 2004-06-23
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 |
|---|---|---|---|---|
| I20040623000528 | I | Pain Management | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 113 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 122 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 28 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 22 | 15 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 16 | 15 | $0 |
Insurance plans in this area (ZIP 02129)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | MA | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Anesthesiology, Pain Management | MA | |
| - | MA | |
| Clinical Psychologist | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA |
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