Doctor profile · Federal record
Dr. John Polley, M.D.
Plastic Surgery Physician · Traverse City, MI
- NPI 1477534931
- MIPS 100.0 / 100 · 2023
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5085 Anna Dr Ste A
Traverse City, MI 496847475
(231) 935-0180
fax (231) 935-0099 - Additional location
-
35 Michigan St Ne Ste 5201
Grand Rapids, MI 495032514
(616) 486-5885
fax (616) 391-1191
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- March 7, 2023
- Specialty taxonomy
- 208200000X — NUCC code
- State license (1)
- Michigan #4301403808
- Medicaid
- IL #036079739
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477534931. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
14
Distinct HCPCS
1
Medicare allowed
$1,524
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 14 | 13 | $109 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 24. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$74,769
Transactions
7
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| KLS-Martin L.P. | 6 | $74,730.47 | |
| Mentor Worldwide LLC | 1 | $38.37 |
By nature of payment
Frequently asked questions
What is Dr. John Polley's medical specialty?
Dr. John Polley practices Plastic Surgery Physician in Traverse City, MI.
Where does Dr. John Polley practice?
Dr. John Polley practices at 5085 Anna Dr Ste A, Traverse City, MI 496847475. Office phone: 2319350180.
What is Dr. John Polley's NPI?
Dr. John Polley's National Provider Identifier (NPI) is 1477534931, issued by NPPES.
What procedures does Dr. John Polley commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.