DR. EDWIN J POLVERINO (D.O.) – Family Medicine Physician, NPI 1194798983
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. EDWIN J POLVERINO (D.O.)
West Main Street, Salem Heights, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241533109
Phone: (540) 387-0441
Fax: (540) 389-7868
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
1955, West Main Street, Dixie Heights, Salem, Virginia, 24153, United States
SALEM, VA 241533109
Phone: (540) 302-0190
Fax: (540) 302-0191
Type: Mailing
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: 2010-02-08
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 |
|---|---|---|---|---|
| I20100208000252 | I | Family Practice | VA | 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 | 87 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 76 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 23 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 24153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | CA | |
| - | VA | |
| - | VA | |
| Diagnostic Radiology | OR | |
| Physician Assistant | AZ | |
| - | VA | |
| Physician Assistant | VA | |
| - | VA | |
| - | VA |
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