GRETCHEN LEIGH POLINSKI – Family Medicine Physician, NPI 1588195382

GRETCHEN LEIGH POLINSKI is a healthcare provider. based in Centerville, Ohio. specializing in FAMILY PRACTICE. They hold a License No. 34.013797 (OH). The NPI Number for GRETCHEN LEIGH POLINSKI is 1588195382

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
GRETCHEN LEIGH POLINSKI
NPI
1588195382
Phone
(419) 571-1250
Address
620 SHELBOURNE LN
Enumeration Date
23 March 2017
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9373953920
Graduation Year
2017 (9 years ago)
PAC ID
0143507293
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20210412001044
Address ID
OH454292405KE4403XAVEX400
Telehealth
Yes

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
gpolinski574317@direct.ketteringhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

4,432 FAMILY PRACTICE in OH

Provider Addresses for GRETCHEN LEIGH POLINSKI

  • 620 SHELBOURNE LN

    APT 101

    CENTERVILLE, OH 454586357

    Phone: (419) 571-1250

    Type: Mailing

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • 4441 FAR HILLS AVE

    KETTERING, OH 454292405

    Phone: (937) 298-7351

    Fax: (937) 298-9458

    Type: Location

  • 4403 Far Hills Ave

    Dayton, OH 454292405

    Phone: (937) 395-3920

    Fax: (937) 395-3940

    Type: Location

  • Grandview Medical Center, 405, West Grand Avenue, Steeles Hill-Grafton Hill Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45405, United States

    DAYTON, OH 454057538

    Phone: (937) 723-3245

    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: 2021-04-12

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
I20210412001044IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10558$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
G0008Administration of influenza virus vaccine2020$0
90662Influenza vaccine split virus, preservative free1818$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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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: 3173710936View full group profile
NameSpecialtyState
Nurse PractitionerOH
Radiation OncologyOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Physician AssistantOH
G A S T R O E N T E R O L O G YOH
Physician AssistantOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Vascular SurgeryOH

Reviews

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Frequently asked questions

What is the standard ID for GRETCHEN LEIGH POLINSKI in the U.S.?
In the U.S., GRETCHEN LEIGH POLINSKI is identified by NPI 1588195382.
Does the public listing show GRETCHEN LEIGH POLINSKI as active?
GRETCHEN LEIGH POLINSKI's NPI record reflects an active status in NPPES.
What services align with GRETCHEN LEIGH POLINSKI's listing?
GRETCHEN LEIGH POLINSKI's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GRETCHEN LEIGH POLINSKI tied to Centerville, Ohio?
If you are local to Centerville, Ohio, GRETCHEN LEIGH POLINSKI may be relevant to your search.
Why is information missing for GRETCHEN LEIGH POLINSKI?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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