Active NPI 1205333275 Individual Practitioner Male Practitioner

David Bryan Polley , NP

Nurse Practitioner • Andover, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Polley, NP is a certified Nurse Practitioner practicing in Andover, MN. With approximately 9 years of clinical experience since completing medical education in 2017, David Polley delivers high-quality medical care to the local community at 15245 BLUEBIRD ST NW.

David Polley is affiliated with Group Health Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15245 Bluebird St Nw

Andover, MN 553043538

Telephone 7635874688

Fax 7635874662

Associated Practice Facility / Clinic

🏢 Goodrich Pharmacy Inc Facility NPI 1619089612

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Andover, MN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.2 yrs vs City Avg

City Avg: 8.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Andover, MN (2609 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polley (9 Years) 9 Yrs

Andover Specialty Average (8.8 Years) 8.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	73	67	$287.30	$74.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$406.30	$105.75
71046 X-ray of chest, 2 views	18	13	$93.89	$21.44
36415 Insertion of needle into vein for collection of blood sample	13	13	$21.50	$8.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$357.00	$91.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	98	$265.20	$75.83
71046 X-ray of chest, 2 views	31	17	$64.16	$16.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$374.00	$99.73
87651 Detection test for Strep (Streptococcus, group A)	17	17	$136.75	$32.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$328.10	$93.33
81001 Manual urinalysis test with examination using microscope, automated	14	13	$12.25	$3.11
36415 Insertion of needle into vein for collection of blood sample	11	11	$21.00	$6.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	131	$248.25	$74.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	50	$352.00	$107.65
71046 X-ray of chest, 2 views	34	17	$57.18	$17.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$305.25	$94.19
81001 Manual urinalysis test with examination using microscope, automated	18	17	$12.25	$3.13
36415 Insertion of needle into vein for collection of blood sample	17	17	$21.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$30.25	$7.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$202.30	$77.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$290.70	$95.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$294.10	$110.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	75	$190.40	$62.85
71046 X-ray of chest, 2 views	22	11	$47.50	$15.58
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$195.50	$61.28
81001 Manual urinalysis test with examination using microscope, automated	11	11	$12.00	$3.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	79	$178.87	$62.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$263.51	$90.92
81001 Manual urinalysis test with examination using microscope, automated	12	11	$37.00	$3.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$207.00	$61.07

Medical Specialties & State Licenses

CMS Verified: 2021-11-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 5741

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Group Health Plan Inc

2500 Como Ave, Saint Paul, MN 551081460

Phone: 6516416200

Practice Associates & Co-Workers

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

14 Associated Practitioners

Divina Bikeri , CNP

Nurse Practitioner - Family

NPI 1003368929

Certified Nurse Practitioner

Dr. Steve Applebaum , MD

Family Medicine

NPI 1033179866

Doctor of Medicine (M.D.)

Karin Filip , PAC-C

Physician Assistant

NPI 1124486097

PACC

Chandrawatie Khemraj , APRN

Nurse Practitioner

NPI 1164964334

Advanced Practice Registered Nurse

Jacqueline Howard , NP

Nurse Practitioner - Family

NPI 1275305153

Nurse Practitioner

Jessica Brysky , PA-C

Physician Assistant

NPI 1285199307

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location November 23, 2021

Registered at 15245 BLUEBIRD ST NW, ANDOVER, MN 553043538 (Tel: 7635874688)

📍

Updated Business Mailing Address November 23, 2021

Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 554254516

📍

Updated Practice Location April 06, 2021

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163 (Tel: 9528538800)

📍

Updated Business Mailing Address April 06, 2021

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Nurse Practitioner (License #5741 in MN)

📍

Updated Practice Location May 29, 2018

Registered at 2500 COMO AVE, SAINT PAUL, MN 55108 (Tel: 9528538800)

✅

NPI Profile Active April 06, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2018

Registered at 2500 COMO AVE, SAINT PAUL, MN 551081460 (Tel: 9528538800)

📍

Updated Business Mailing Address April 06, 2018

Registered at PO BOX 1309, MINNEAPOLIS, MN 554401309

👤

Provider Name / Credentials Updated April 06, 2018

Recorded as DAVID POLLEY, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2018

Registered Nurse (License #2151711 in MN)

🟢

Initial NPI Registration & Enumeration April 06, 2018

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: 1205333275

Entity Type:

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

Enumeration Date: April 06, 2018

Last Update: November 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S, Ms 21110q

Bloomington, MN 554254516

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.