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Gustavo Emil Polanco Hernandez, PA

NPI 1013558188ActiveIndividual· Physician Assistant· Bronx, NY

Physician Assistant (PA) with Shakespeare Operating LLC, practicing in Bronx, New York. Their prescriptions cost Medicare Part D more than their services did: $528,283 for 4,021 claims, against $16,576 paid for services in 2024. Viiv Healthcare Company was the largest of 8 companies reporting payments in 2025, $343.42 in all, mostly food and beverage.

Overview

NPI1013558188
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedSep 30, 2019
Last updated in NPPESJan 12, 2023
Certified by providerJan 12, 2023

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients81
Services billed293 across 19 procedure codes
Paid by Medicare$16,576

Part D prescriptions in 2024

Prescriptions (claims)4,021 · 7,505 30-day fills
Patients481
Total drug cost$528,283
Generic share79% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$343.42 · 10 payments from 8 companies
  • 2024$405.98 · 9 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$343.42 · 10 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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