PAVEL POLEHNA MD
NPI 1427144583
Family Medicine in Vancouver, WA
NPI Status: Active since October 05, 2006
Contact Information
700 NE 87TH AVE
VANCOUVER, WA
ZIP 98664
Phone: (360) 254-1240
Fax: (360) 397-3128
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About PAVEL POLEHNA
This page provides the complete NPI Profile along with additional information for Pavel Polehna, a primary care provider established in Vancouver, Washington with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1427144583 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD00047152 (WA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1427144583
- Provider Name
- PAVEL POLEHNA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 700 NE 87TH AVE VANCOUVER, WA 98664
- Location Phone
- (360) 254-1240
- Location Fax
- (360) 397-3128
- Mailing Address
- 700 NE 87TH AVE VANCOUVER, WA 98664
- Mailing Phone
- (360) 254-1240
- Mailing Fax
- (360) 397-3128
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 04-30-2020
- Code Navigator
A primary care provider (PCP) like Pavel Polehna sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00047152
- License State
- WA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 113948 (AK) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 51068 (AZ) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | M-13199 (ID) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | DR.0056351 (CO) |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD-18503 (HI) |
| 6 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 16301 (NV) |
| 7 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 10464A (WY) |
| 8 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD2015-0793 (NM) |
| 9 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 41935 (MT) |
| 10 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD162124 (OR) |
| 11 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | A97249 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8464547 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Pavel Polehna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 38 times for 37 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 24 times for 22 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 20 times for 20 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98664 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.78
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $25.19
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 4 | 4 | 5 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 4 | 8 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 4 + 8 + 5 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1427144583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881687473 | MS. SAMANTHA JOAN MILLER CNM Individual | Advanced Practice Midwife | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1500 |
| 1245229137 | DR. GANG YE MD Individual | Internal Medicine (Medical Oncology) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 882-2778 |
| 1275582215 | TAUNYA KAY FITZSIMONDS PA-C Individual | Physician Assistant | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1500 |
| 1649221334 | JENNIFER E OCHSNER M.D. Individual | Radiology (Diagnostic Radiology) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 882-2778 |
| 1376596270 | DR. STACEY A TRUEWORTHY M.D. Individual | Obstetrics & Gynecology | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 882-2778 |
| 1205881539 | CAROL BUNTEN MD Individual | Obstetrics & Gynecology | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1356396709 | LAUREN ANDRONICI CNM Individual | Advanced Practice Midwife | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 882-2778 |
| 1144275595 | MATTHEW CASIMO MD Individual | Internal Medicine (Gastroenterology) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1500 |
| 1689629636 | DANIEL HIGHKIN MD Individual | Internal Medicine | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1240 |
| 1881649861 | GERALD BADER MD Individual | Pediatrics | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 882-2778 |
| 1902852502 | ALEXANDER CHOW MD Individual | Internal Medicine | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1194771774 | MARTHA COALE MD Individual | Radiology (Body Imaging) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1376599951 | ADAM COWLING P.T. Individual | Physical Therapist | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1851347967 | WENDY DRAPER MD Individual | Obstetrics & Gynecology | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1500 |
| 1922054469 | JAROSLAW CYMOREK MD Individual | Internal Medicine (Gastroenterology) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1922054055 | VERNON HEE MD Individual | Internal Medicine (Gastroenterology) | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 397-1500 |
| 1154377679 | SHARON CROWELL MD Individual | Internal Medicine | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1366499493 | YVONNE FREI M.D. Individual | Obstetrics & Gynecology | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1215984315 | ROBYN DEMARAY PT Individual | Physical Therapist | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
| 1386691301 | RONNIE-GAIL EMDEN M.D. Individual | Obstetrics & Gynecology | 700 NE 87TH AVE VANCOUVER, WA 98664 (360) 254-1240 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427144583, enumerated in the NPI registry as an "individual" on October 05, 2006
The provider is located at 700 Ne 87th Ave Vancouver, Wa 98664 and the phone number is (360) 254-1240
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $100.78 and an average copayment of 25.19. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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