Doctor profile · Federal record
Dr. Gordon Polley, M. D.
Surgery Physician · Jacksonville, FL
- NPI 1265490056
- MIPS 79.3 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
836 Prudential Dr, Suite 1001
Jacksonville, FL 322078334
(904) 398-0033
fax (904) 398-6774 - Mailing address
-
11945 San Jose Blvd, Bldg 300
Jacksonville, FL 322231627
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 28, 2015
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Florida #ME51872
- Medicaid
- FL #274941600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265490056. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
195
Distinct HCPCS
6
Medicare allowed
$31,329
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 58 | 58 | $167 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 52 | 48 | $88 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 27 | 25 | $120 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $111 | |
49650 |
Repair of groin hernia using an endoscope | 19 | 19 | $540 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 14 | 11 | $56 |
In context: peer comparison
Among 30 peers in Jacksonville Surgery Physician, average services per provider: 49. This provider delivers 4.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
78
Patients
76
Total drug cost
$427
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 41 | 39 | $271 |
| Metronidazole | Generic | 13 | 13 | $21 |
| Neomycin Sulfate | Generic | 13 | 13 | $75 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 11 | 11 | $60 |
Frequently asked questions
What is Dr. Gordon Polley's medical specialty?
Dr. Gordon Polley practices Surgery Physician in Jacksonville, FL.
Where does Dr. Gordon Polley practice?
Dr. Gordon Polley practices at 836 Prudential Dr, Jacksonville, FL 322078334. Office phone: 9043980033.
What is Dr. Gordon Polley's NPI?
Dr. Gordon Polley's National Provider Identifier (NPI) is 1265490056, issued by NPPES.
What procedures does Dr. Gordon Polley commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.