ANDREA B POLONSKY (M.D.) – Obstetrics & Gynecology Physician, NPI 1245316389
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,231 OBSTETRICS/GYNECOLOGY in MA
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Provider Addresses for ANDREA B POLONSKY (M.D.)
9, Periwinkle Way, Marble Ridge Station, North Andover, Essex County, Massachusetts, 01845, United States
NORTH ANDOVER, MA 01845
Phone: (978) 475-2731
Type: Mailing
140, Haverhill Street, Shawsheen Village, Andover, Essex County, Massachusetts, 01845, United States
C/O ANDOVER OB/GYN
ANDOVER, MA 018101550
Phone: (978) 475-2731
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $481.
Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$481
General + Research + Ownership
Payments
22
Total payment records
General Amount
$481
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $133 |
| Astellas Pharma US Inc | $108 |
| Exeltis, USA Inc. | $71 |
| Sumitomo Pharma America, Inc. | $48 |
| PFIZER INC. | $23 |
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: 2004-06-15
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 |
|---|---|---|---|---|
| I20040615001201 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 46 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 54 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 01845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Certified Nurse Midwife (Cnm) | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Nurse Practitioner | NH |
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