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Mark-Allen Nison Polyakov, M.D.

NPI 1548556053ActiveIndividual· Hospitalist· Fond Du Lac, WI

Hospitalist (M.D.) with Providence Medical Foundation, practicing in Fond Du Lac, Wisconsin. 261 Medicare patients in 2024, $72,206 paid; nearly all of their 168 Part D prescriptions were generic (92%). Lists Providence Santa Rosa Memorial Hospital as a hospital affiliation.

Overview

NPI1548556053
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 22, 2011
Last updated in NPPESApr 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Hospitalist Primary208M00000X69890WI
Internal Medicine207R00000X19068HI
Internal Medicine207R00000XA132011CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients261
Services billed760 across 5 procedure codes
Paid by Medicare$72,206

Part D prescriptions in 2024

Prescriptions (claims)168 · 173 30-day fills
Patients83
Total drug cost$5,980
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2011
Medicare specialtyInternal Medicine
Secondary specialtiesHospitalist

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other hospitalists in Fond Du Lac

All hospitalists in Wisconsin