Active NPI 1902178965 Individual Practitioner Male Practitioner

David Michael Polston , PA-C

Physician Assistant • Fort Campbell, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Polston, PA-C is a certified Physician Assistant practicing in Fort Campbell, KY. With approximately 15 years of clinical experience since completing medical education in 2011, David Polston delivers high-quality medical care to the local community at 650 JOEL DR.

David Polston is affiliated with Quality Acute Care Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr
Attention: Credentials Office

Fort Campbell, KY 422235318

Telephone 2707988130

Associated Practice Facility / Clinic

🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Campbell, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +5.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

133 Specialists

Practicing in Fort Campbell, KY (1973 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polston (15 Years) 15 Yrs

Fort Campbell Specialty Average (9.8 Years) 9.8 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	317	34	$1.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	88	81	$175.00	$73.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	35	$40.00	$11.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$205.00	$88.85
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	31	29	$100.00	$66.39
71046 X-ray of chest, 2 views	16	13	$75.00	$22.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$200.00	$104.21
81002 Urinalysis, manual test	11	11	$10.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$310.00	$135.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	515	48	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	135	115	$175.00	$73.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$205.00	$90.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	55	$40.00	$11.36
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	32	32	$100.00	$44.65
81002 Urinalysis, manual test	30	27	$10.00	$3.41
71046 X-ray of chest, 2 views	25	19	$75.00	$17.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$200.00	$104.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$310.00	$135.53
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	375	37	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	93	86	$175.00	$74.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$205.00	$91.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	38	$40.00	$11.77
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	27	$75.00	$42.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$200.00	$105.36
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	23	22	$100.00	$30.47
81002 Urinalysis, manual test	17	17	$10.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$310.00	$136.85
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	67	$175.00	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$205.00	$92.82
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	39	37	$75.00	$45.23
81002 Urinalysis, manual test	12	11	$10.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	16	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	70	$200.00	$89.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	59	55	$75.00	$45.23
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$175.00	$62.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$205.00	$89.27
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$35.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$310.00	$131.03
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$175.00	$62.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	17	$40.00	$11.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	16	$1.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$200.00	$88.97
71046 X-ray of chest, 2 views	30	20	$75.00	$12.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$310.00	$134.55
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$175.00	$60.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	17	$40.00	$13.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.00	$88.48
81002 Urinalysis, manual test	12	12	$10.00	$3.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 1103385

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Quality Acute Care Pa

1421 S Main St, Boerne, TX 780063322

Phone: 8302499995

Practice Associates & Co-Workers

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

2 Associated Practitioners

Seth Grubbs , PA-C

Physician Assistant

NPI 1275770166

Physician Assistant (Certified)

Aaron Johnston , FNP

Nurse Practitioner - Family

NPI 1306074299

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2012

Registered at 650 JOEL DR, ATTENTION: CREDENTIALS OFFICE, FORT CAMPBELL, KY 422235318 (Tel: 2707988130)

📍

Updated Business Mailing Address February 06, 2012

Registered at 650 JOEL DR, ATTENTION: CREDENTIALS OFFICE, FORT CAMPBELL, KY 422235318 (Tel: 2707988130)

👤

Provider Name / Credentials Updated February 06, 2012

Recorded as DAVID POLSTON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2012

Physician Assistant (License #1103385 in TN)

🟢

Initial NPI Registration & Enumeration February 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902178965

Entity Type:

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

Enumeration Date: February 06, 2012

Last Update: February 06, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

650 Joel Dr, Attention: Credentials Office

Fort Campbell, KY 422235318

Phone: 2707988130

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.