AMY M POLSTER (MD) – Dermatology Physician, NPI 1053341602
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for AMY M POLSTER (MD)
5800 LANDERBROOK DR STE 100
MAYFIELD HEIGHTS, OH 441246510
Phone: (440) 443-0423
Type: Mailing
5655 HUDSON DR STE 301
HUDSON, OH 442364454
Phone: (330) 653-3376
Fax: (330) 653-3378
Type: Location
7676 Reynolds Rd
Mentor, OH 440605110
Phone: (440) 283-3015
Fax: (440) 283-3010
Type: Location
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH, NH 038012864
Phone: (802) 909-2053
Type: Mailing
8183 GOLDEN LINK BLVD
MACEDONIA, OH 440672015
Phone: (330) 778-1278
Fax: (330) 525-9009
Type: Location
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
SUITE 10
INDEPENDENCE, OH 441312139
Phone: (800) 223-2273
Type: Mailing
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441950001
Phone: (800) 223-2273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $477.
Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($336).
Total Amount
$477
General + Research + Ownership
Payments
33
Total payment records
General Amount
$477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $336 |
| PFIZER INC. | $47 |
| Galderma Laboratories, L.P. | $34 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $30 |
| CONMED Corporation | $17 |
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: 2016-03-03
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 |
|---|---|---|---|---|
| I20160303001047 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 320 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 133 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 118 | 80 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 103 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $0 |
Insurance plans in this area (ZIP 44124)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | IN | |
| Nurse Practitioner | OH | |
| Physician Assistant | NH | |
| Physician Assistant | OH | |
| Physician Assistant | IN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | NH |
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