DR. JERRY WAYNE POLASEK (M.D.) – Diagnostic Radiology Physician, NPI 1043487911
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for DR. JERRY WAYNE POLASEK (M.D.)
1602 GANNOWAY LAKE CT
SUGAR LAND, TX 774982873
Phone: (281) 217-5119
Type: Mailing
Baylor College of Medicine, 1, Baylor Plaza, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770303411
Phone: (281) 217-5119
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 $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Boston Scientific Corporation ($35).
Total Amount
$66
General + Research + Ownership
Payments
2
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $35 |
| Terumo Medical Corporation | $31 |
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: 2010-08-11
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 |
|---|---|---|---|---|
| I20100811000397 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 461 | 450 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 413 | 413 | $0 |
| 72125 | Ct scan of upper spine without contrast | 346 | 342 | $0 |
| 72131 | Ct scan of lower spine without contrast | 232 | 230 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 215 | 212 | $0 |
Insurance plans in this area (ZIP 77498)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | TX | |
| Interventional Radiology, Diagnostic Radiology | NJ |
Reviews
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