Evelyn Polanco
NPI 1083979975 · Anatomic Pathology & Clinical Pathology Physician · Royal Oak, MI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1083979975
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 4301504844 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,286 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 312 | $35 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique88112 | 300 | $26 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report88173 | 200 | $66 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 169 | $26 |
| Microscopic Genetic Analysis of Tumor, Manual88360 | 58 | $38 |
| Pap Test88141 | 41 | $24 |
Practice location
Mailing address
Additional practice locations (5)
- 18101 Oakwood BlvdDearborn, MI 48124-4089Phone: (313) 593-7965
- 468 Cadieux RdGrosse Pointe, MI 48230-1507Phone: (313) 473-1615
- 10000 Telegraph RdTaylor, MI 48180-3330Phone: (313) 295-5360
- 5450 Fort StTrenton, MI 48183-4601Phone: (734) 671-3866
- 44201 Dequindre RdTroy, MI 48085-1117Phone: (248) 964-4130
Registry dates
- Enumerated
- 2012-07-07
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.