Kenneth D. Polivy, M.D.
NPI 1194794115ActiveIndividual· Orthopaedic Surgery· Newton, MA
Orthopaedic Surgery (M.D.) in Newton, Massachusetts, trained at Tufts University School of Medicine (class of 1978). 508 Medicare patients in 2024, $151,022 paid; all of their 347 Part D prescriptions were generic.
Overview
| NPI | 1194794115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Nov 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 47345 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 508 |
|---|---|
| Services billed | 17,192 across 44 procedure codes |
| Paid by Medicare | $151,022 |
Part D prescriptions in 2024
| Prescriptions (claims) | 347 · 360 30-day fills |
|---|---|
| Patients | 189 |
| Total drug cost | $1,876 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 1978 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Newton Wellesley Orthopedic Associates IncNewton Lower Falls, MA · 25 clinicians
Hospital affiliations
- Brigham and Women's HospitalBoston, MA
- Emerson Hospital -W Concord, MA
- Newton-Wellesley HospitalNewton, MA
Other facilities
- North Hill Home Health Care IncHome health agency · Needham, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 orthopedic surgeons in Newton · All orthopedic surgeons in Massachusetts