Doctor profile · Federal record

Dr. Robert Polak, M.D.

Surgery Physician (CMS: General Surgery) · Surgery Physician · Miamisburg, OH

  • NPI 1730599366
  • Accepts Medicare
  • MIPS 78.9 / 100 · 2023
  • 12 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
4000 Miamisburg Centerville RD Ste 420
Miamisburg, OH 453427615
(937) 439-4145
fax (937) 439-4371
Additional location
4000 Miamisburg Centerville RD Ste 435
Miamisburg, OH 453427615
(937) 433-5957
fax (937) 281-0562
Additional location
7740 Washington Village Dr Ste 110
Dayton, OH 454593994
Mailing address
1 Prestige Pl Ste 550
Miamisburg, OH 453426115

Credentials & registration

NPPES · NUCC
NPI registered
May 2014 — 12 yrs on file
Profile last updated
August 18, 2025
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
208600000X — NUCC code
State licenses (2)
Ohio #35.143165 · Texas #BP10049567

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1730599366. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
30
Distinct HCPCS
2
Medicare allowed
$3,118
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 19 11 $87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 11 11 $133

In context: peer comparison

Among 1 peers in Miamisburg Surgery Physician, average services per provider: 15. This provider delivers 2.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$495
Transactions
5
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Novo Nordisk INC 3 $311.19
Intuitive Surgical, INC. 2 $183.32

By nature of payment

Food and Beverage
$495

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
139
Patients
77
Total drug cost
$1,452
Drug Type Claims Patients Total cost
Omeprazole Generic 36 18 $511
Ondansetron Odt (Ondansetron) Brand 21 16 $289
Promethazine Hcl Generic 21 14 $95
Methocarbamol Generic 20 15 $290
Oxycodone Hcl Generic 15 14 $82
Topiramate Generic 15 0 $120
Metoclopramide Hcl Generic 11 0 $65

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Robert Polak's medical specialty?
Dr. Robert Polak practices Surgery Physician in Miamisburg, OH.
Where does Dr. Robert Polak practice?
Dr. Robert Polak practices at 4000 Miamisburg Centerville RD Ste 420, Miamisburg, OH 453427615. Office phone: 9374394145.
What is Dr. Robert Polak's NPI?
Dr. Robert Polak's National Provider Identifier (NPI) is 1730599366, issued by NPPES.
Does Dr. Robert Polak accept Medicare assignment?
Yes. Dr. Robert Polak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Polak commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.