Donovan C. Polack, MD
NPI 1659324465ActiveIndividual· Internal Medicine, Nephrology· Florissant, MO
Internal Medicine, Nephrology (MD) in Florissant, Missouri, trained at Js Weill Medical College, Cornell University (class of 1979). Their prescriptions cost Medicare Part D more than their services did: $640,436 for 2,078 claims, against $71,580 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 15 companies reporting payments in 2025, $1,133 in all, mostly food and beverage.
Overview
| NPI | 1659324465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | R5H69 | MO |
| Specialist | 174400000X | 036-072078 | IL |
| Specialist | 174400000X | R5H69 | MO |
| Internal Medicine, Nephrology | 207RN0300X | 036-072078 | IL |
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 - Nephrology (IL); Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 644 across 13 procedure codes |
| Paid by Medicare | $71,580 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,078 · 4,484 30-day fills |
|---|---|
| Patients | 237 |
| Total drug cost | $640,436 |
| Generic share | 72% of claims |
Education and affiliations
| Medical school | Js Weill Medical College, Cornell University |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Nephrology |
| Telehealth | Offers telehealth |
Medical group
- St Louis Kidney Care LLCFlorissant, MO · 8 clinicians
Hospital affiliations
- Christian Hospital NortheastSaint Louis, MO
- Gateway Regional Medical CenterGranite City, IL
- Mercy Hospital JeffersonCrystal City, MO
- Ssm Health Depaul Hospital St LouisBridgeton, MO
Other facilities
- Bma St. LouisDialysis facility · Saint Ann, MO
- Metro Dialysis Center - NorthDialysis facility · Florissant, MO
Industry payments (Open Payments)
- 2025$1,133 · 36 payments from 15 companies
- 2024$1,020 · 31 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $260.80 | 7 |
| Travere Therapeutics, Inc. | $199.42 | 4 |
| Ardelyx, Inc. | $169.78 | 3 |
| Astrazeneca Pharmaceuticals LP | $80.54 | 4 |
| Lilly USA, LLC | $79.17 | 3 |
What the 2025 payments were for
- Food and Beverage$1,133 · 36 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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