Doctor profile · Federal record
Dr. Donovan Polack, MD
Nephrology Physician (CMS: Nephrology) · Specialist · Specialist · Nephrology Physician · Florissant, MO
- NPI 1659324465
- Accepts Medicare
- 47 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1265 Graham RD Ste 1
Florissant, MO 630318018
(314) 741-1600
fax (314) 741-1677 - Additional location
-
2044 Madison Ave Ste 15
Granite City, IL 620404641
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- May 22, 2024
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State licenses (2)
- Missouri #R5H69 · Illinois #036-072078
- Medicaid (2)
- IL #036072078 · MO #202546321
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659324465. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
713
Distinct HCPCS
6
Medicare allowed
$112,690
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 354 | 80 | $116 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 117 | 53 | $102 | |
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 116 | 43 | $344 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 62 | 52 | $169 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 43 | 27 | $77 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 21 | 15 | $288 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 106. This provider delivers 6.7× the peer median.Open Payments
Industry payments received
All-time total
$1,020
Transactions
31
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Fresenius USA Marketing, Inc. | 4 | $254.98 | |
| NXSTAGE MEDICAL, INC. | 1 | $220.76 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 5 | $116.10 | |
| Amgen Inc. | 3 | $69.62 | |
| Otsuka America Pharmaceutical, Inc. | 3 | $66.81 | |
| AstraZeneca Pharmaceuticals LP | 3 | $56.90 | |
| Travere Therapeutics, Inc. | 4 | $46.78 | |
| CALLIDITAS THERAPEUTICS US INC. | 2 | $44.67 | |
| Bayer Healthcare Pharmaceuticals Inc. | 2 | $39.74 | |
| CorMedix Inc. | 1 | $35.95 | |
| Novartis Pharmaceuticals Corporation | 1 | $33.73 | |
| Vifor Pharma, Inc. | 1 | $19.64 | |
| Ardelyx, Inc. | 1 | $14.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,232
Patients
334
Total drug cost
$387,959
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Farxiga (Dapagliflozin Propanediol) | Brand | 174 | 42 | $151,986 |
| Losartan Potassium | Generic | 173 | 53 | $2,304 |
| Carvedilol | Generic | 148 | 44 | $2,238 |
| Amlodipine Besylate | Generic | 122 | 41 | $856 |
| Sevelamer Carbonate | Generic | 89 | 23 | $17,273 |
| Chlorthalidone | Generic | 71 | 24 | $1,676 |
| Velphoro (Sucroferric Oxyhydroxide) | Brand | 63 | 13 | $202,978 |
| Atorvastatin Calcium | Generic | 57 | 17 | $681 |
| Furosemide | Generic | 57 | 18 | $346 |
| Tramadol Hcl | Generic | 57 | 0 | $364 |
Hospital affiliations
Frequently asked questions
What is Dr. Donovan Polack's medical specialty?
Dr. Donovan Polack practices Nephrology Physician in Florissant, MO.
Where does Dr. Donovan Polack practice?
Dr. Donovan Polack practices at 1265 Graham RD Ste 1, Florissant, MO 630318018. Office phone: 3147411600.
What is Dr. Donovan Polack's NPI?
Dr. Donovan Polack's National Provider Identifier (NPI) is 1659324465, issued by NPPES.
Does Dr. Donovan Polack accept Medicare assignment?
Yes. Dr. Donovan Polack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Donovan Polack commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214); Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS 90960). Source: CMS Medicare Physician & Other Practitioners file.