Ilir Polovina, NP-C
NPI 1952540999 · Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilir Polovina, NP-C is a Nurse Practitioner provider in Saint Louis, MO (NPI 1952540999).
Provider details
- NPI number
- 1952540999
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2003005393 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
269 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 153 | $64 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 99 | $33 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 17 | $7 |
Typical Medicare-allowed amounts for these services range $7–$64 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 238 | 32 |
| Levothyroxine Sodium | 204 | 20 |
| Lisinopril | 159 | 19 |
| Amlodipine Besylate | 157 | 26 |
| Metformin Hcl | 155 | 18 |
| Tamsulosin Hcl | 135 | 14 |
| Finasteride |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$27 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-16
- Last updated
- 2009-02-16
Frequently asked questions
- What is Ilir Polovina's NPI number?
- Ilir Polovina's National Provider Identifier (NPI) is 1952540999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilir Polovina's specialty?
- Ilir Polovina is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ilir Polovina located?
- Ilir Polovina's practice location on file with NPPES is 12345 W Bend Dr Ste 200, Saint Louis, MO 63128-2253.
- What is Ilir Polovina's phone number?
- The practice phone number listed in the NPPES registry for Ilir Polovina is (314) 843-8000.
- Does Ilir Polovina accept Medicare?
- Ilir Polovina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilir Polovina's NPI active?
- Yes — Ilir Polovina's NPI (1952540999) is active in the NPPES registry as of the last update on 2009-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.