Active NPI 1265490056 Individual Practitioner Male Practitioner

Dr. Gordon M. Polley , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Polley, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 44 years of clinical experience since graduating from University Of South Florida College Of Medicine in 1982, Dr. Polley delivers high-quality medical care to the local community at 836 PRUDENTIAL DR.

Dr. Polley is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Dr
Suite 1001

Jacksonville, FL 322078334

Telephone 9043980033

Fax 9043986774

Associated Practice Facility / Clinic

🏢 Reproductive Medicine Associates, P.a. Facility NPI 1013991587

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +21.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polley (44 Years) 44 Yrs

Jacksonville Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$483.00	$165.40
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$210.00	$90.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$316.84	$111.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$310.00	$123.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$126.00	$56.82
49650 Repair of groin hernia using an endoscope	14	14	$3692.86	$525.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$483.00	$166.99
99213 Established patient office or other outpatient visit, typically 15 minutes	52	48	$210.00	$88.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$310.00	$120.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$316.84	$111.00
49650 Repair of groin hernia using an endoscope	19	19	$2591.16	$539.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$126.00	$56.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$210.00	$85.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$483.00	$162.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$310.00	$123.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$317.09	$108.87
49650 Repair of groin hernia using an endoscope	16	16	$2059.38	$599.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$210.00	$89.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$483.00	$169.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$310.00	$130.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$317.42	$107.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$115.00	$38.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$403.00	$137.42
49650 Repair of groin hernia using an endoscope	12	12	$1537.67	$479.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$315.55	$108.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$80.61	$26.58
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$158.07	$52.17
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$210.00	$72.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$310.00	$105.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$242.05	$80.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$234.56	$78.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$398.88	$133.65
49650 Repair of groin hernia using an endoscope	13	13	$1520.77	$473.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$483.00	$156.06
36590 Removal of peripheral venous catheter for infusion	12	11	$642.83	$169.77
38900 Lymph node imaging during surgery	12	11	$446.50	$153.23
19125 Removal of breast growth, open procedure	11	11	$1441.82	$472.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1385.82	$258.20
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$216.00	$76.36
47562 Removal of gallbladder using an endoscope	11	11	$2305.36	$719.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$156.96	$51.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$79.00	$25.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$483.00	$164.68
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$210.00	$72.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$315.00	$103.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$310.00	$103.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	15	$115.00	$39.90
19301 Partial removal of breast	31	31	$2069.68	$658.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$234.69	$77.92
38900 Lymph node imaging during surgery	25	25	$446.20	$147.82
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$1386.75	$278.04
49650 Repair of groin hernia using an endoscope	22	22	$1797.27	$526.49
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$299.00	$103.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$241.00	$79.84
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1094.85	$246.11
47562 Removal of gallbladder using an endoscope	13	13	$2321.00	$653.07
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$231.08	$17.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$397.00	$131.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	40	$142.75	$50.87
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$210.00	$70.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	14	$115.00	$39.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$66.87	$25.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$315.00	$107.64
38900 Lymph node imaging during surgery	18	18	$359.92	$147.29
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1148.29	$280.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$214.92	$77.83
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$299.00	$102.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$310.00	$106.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$311.57	$130.98
19301 Partial removal of breast	12	12	$1824.72	$655.65
47562 Removal of gallbladder using an endoscope	11	11	$2215.82	$695.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$210.00	$69.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	42	$126.00	$41.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	35	$87.04	$24.35
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$145.87	$49.32
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$216.00	$71.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$589.00	$203.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$310.00	$106.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$315.00	$104.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	18	$113.30	$39.39
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$979.41	$276.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$194.01	$71.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$334.10	$125.98
47562 Removal of gallbladder using an endoscope	14	14	$2403.89	$696.77
19301 Partial removal of breast	14	14	$1459.78	$660.65
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$299.00	$102.56
49650 Repair of groin hernia using an endoscope	13	13	$1748.88	$482.80

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME51872

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

274941600 (FL)

Commercial Insurance / Payer ID Cigna

1265866

Commercial Insurance / Payer ID Aetna

4664231

Commercial Insurance / Payer ID Avmed

100414

Commercial Insurance / Payer ID Railroad Medicare

020040220 (FL)

Commercial Insurance / Payer ID Bcbs Fl

12615

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

836 Prudential Dr, Jacksonville, FL 322078337

Phone: 9043980033

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Alexander Rose , MD

Surgery

NPI 1083873335

Doctor of Medicine (M.D.)

Dr. Steven Hodgett , MD

Surgery

NPI 1104015122

Doctor of Medicine (M.D.)

Dr. Craig Morgenthal , MD

Surgery

NPI 1114961554

Doctor of Medicine (M.D.)

David Currie , PA-C

Physician Assistant

NPI 1164072294

Physician Assistant (Certified)

Dr. David Niemeyer , MD

Surgery

NPI 1235344128

Doctor of Medicine (M.D.)

Kasey Colborne , PA-C

Physician Assistant

NPI 1316489859

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2015

Registered at 836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 322078334 (Tel: 9043980033)

📍

Updated Business Mailing Address July 28, 2015

Registered at 11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 322231627 (Tel: 9043961725)

👤

Provider Name / Credentials Updated July 28, 2015

Recorded as GORDON POLLEY, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Surgery (License #ME51872 in FL)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Gordon Polley. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265490056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: July 28, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11945 San Jose Blvd, Bldg 300

Jacksonville, FL 322231627

Phone: 9043961725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.