Doctor profile · Federal record
Dr. Polina Kokoulina, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Boise, ID
- NPI 1013342468
- Accepts Medicare
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
900 N Liberty St, Ste 101
Boise, ID 837048704
(208) 367-5050
fax (208) 367-5151 - Mailing address
-
3340 E Goldstone Way
Meridian, ID 836421026
Credentials & registration
- NPI registered
- September 2013 — 13 yrs on file
- Profile last updated
- April 6, 2015
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Idaho #PA-1093
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013342468. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
25
Distinct HCPCS
1
Medicare allowed
$1,304
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 25 | 17 | $52 |
In context: peer comparison
Among 13 peers in Boise Surgical Physician Assistant, average services per provider: 47. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$28
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $28.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
146
Patients
93
Total drug cost
$3,819
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 46 | 42 | $263 |
| Enoxaparin Sodium | Generic | 41 | 39 | $2,351 |
| Estradiol | Generic | 19 | 0 | $1,023 |
| Triamcinolone Acetonide | Generic | 16 | 0 | $90 |
| Tramadol Hcl | Generic | 13 | 12 | $33 |
| Fluconazole | Generic | 11 | 0 | $59 |
Frequently asked questions
What is Dr. Polina Kokoulina's medical specialty?
Dr. Polina Kokoulina practices Surgical Physician Assistant in Boise, ID.
Where does Dr. Polina Kokoulina practice?
Dr. Polina Kokoulina practices at 900 N Liberty St, Boise, ID 837048704. Office phone: 2083675050.
What is Dr. Polina Kokoulina's NPI?
Dr. Polina Kokoulina's National Provider Identifier (NPI) is 1013342468, issued by NPPES.
Does Dr. Polina Kokoulina accept Medicare assignment?
Yes. Dr. Polina Kokoulina accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Polina Kokoulina commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.