Active NPI 1669483046 Individual Practitioner Male Practitioner

Dr. David W Polly , MD

Orthopaedic Surgery • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. David Polly, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Minneapolis, MN. Practice services are available at UNIVERSITY OF MINNESOTA PHYSICIANS under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, computer-assisted spinal procedure, fusion of additional segment of spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

University Of Minnesota Physicians
2512 South 7th Street, Suite R102

Minneapolis, MN 55454

Telephone 6122739400

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Minneapolis, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.0 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

59 Specialists

Practicing in Minneapolis, MN (674 Statewide)

Telehealth Adoption Rate

39.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	36	$600.00	$122.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	24	$847.00	$170.75
99213 Established patient office or other outpatient visit, typically 15 minutes	28	22	$426.00	$87.96
61783 Computer-assisted spinal procedure	13	12	$795.23	$196.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	53	13	$905.82	$223.76
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$405.00	$88.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	30	$806.00	$170.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$571.00	$124.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	16	$809.59	$208.81
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	21	11	$142.00	$30.97
61783 Computer-assisted spinal procedure	18	17	$759.89	$201.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$747.00	$161.15
22214 Incision of spine to correct deformity at lower spinal column	14	14	$4056.15	$544.19
22843 Placement of stabilizing device to back, 7-12 spine bone segments	12	12	$2685.42	$651.98
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$5084.97	$1054.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$987.00	$212.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	37	$456.00	$128.14
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$314.00	$90.40
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	12	$625.85	$172.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$612.00	$179.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$684.00	$165.37
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	14	$5316.92	$1251.77
22214 Incision of spine to correct deformity at lower spinal column	15	14	$4446.54	$573.21
61783 Computer-assisted spinal procedure	14	13	$752.00	$205.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	40	$456.00	$126.50
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$314.00	$88.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	12	$828.89	$229.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$612.00	$178.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$684.00	$166.59
61783 Computer-assisted spinal procedure	14	13	$759.14	$212.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$449.00	$111.70
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$5012.31	$1088.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$314.00	$73.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$449.00	$107.80
22614 Fusion of additional segment of spine	33	12	$2100.30	$232.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$456.00	$106.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	11	$1385.88	$207.64
61783 Computer-assisted spinal procedure	14	14	$1298.00	$216.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$684.00	$164.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	66	12	$2079.00	$238.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$441.00	$107.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$440.00	$103.98
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$301.00	$73.67
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	14	$1375.00	$216.74
61783 Computer-assisted spinal procedure	16	16	$1238.00	$214.51
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$9801.00	$901.78
22214 Incision of spine to correct deformity at lower spinal column	14	14	$7899.00	$465.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	88	16	$2011.68	$226.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$422.56	$104.92
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$286.34	$70.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$646.35	$160.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$423.95	$105.39
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	12	$9481.12	$864.10
22214 Incision of spine to correct deformity at lower spinal column	13	11	$7604.96	$461.94
22848 Insertion of instrumentation to pelvic bones	12	12	$1849.76	$266.81
61783 Computer-assisted spinal procedure	12	12	$1198.56	$212.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$276.04	$69.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$408.70	$105.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$406.02	$105.48

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 34661

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0573717 (IA)

Medicaid State Provider ID

977595100 (MN)

Medicaid State Provider ID

10387 (ND)

Medicaid State Provider ID

7777470 (SD)

Medicaid State Provider ID

34466400 (WI)

Commercial Insurance / Payer ID Healthpartners

HP39572

Commercial Insurance / Payer ID Ucare

131005

Commercial Insurance / Payer ID Bluecross Blueshield

354R8PO (MN)

Commercial Insurance / Payer ID Araz

2032918

Commercial Insurance / Payer ID Medica Primary

09-00027

Practice Associates & Co-Workers

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

18 Associated Practitioners

Rachel Hollister , OT

Occupational Therapist - Hand

NPI 1003911785

Occupational Therapist

Virginia O'brien , OT

Occupational Therapist - Hand

NPI 1063510709

Occupational Therapist

Dr. Roby Thompson , MD

Orthopaedic Surgery

NPI 1164511184

Doctor of Medicine (M.D.)

Jamie Shaver , PA

Physician Assistant

NPI 1174825400

Physician Assistant

Dr. Ann Van Heest , MD

Orthopaedic Surgery

NPI 1194833376

Doctor of Medicine (M.D.)

Dr. Gordon Aamoth , MD

Orthopaedic Surgery

NPI 1215947353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2012

Registered at UNIVERSITY OF MINNESOTA PHYSICIANS, 2512 SOUTH 7TH STREET, SUITE R102, MINNEAPOLIS, MN 55454 (Tel: 6122739400)

📍

Updated Business Mailing Address October 26, 2012

Registered at UNIVERSITY OF MINNESOTA PHYSICIANS, 2512 SOUTH 7TH STREET, SUITE R102, MINNEAPOLIS, MN 55454 (Tel: 6122739400)

👤

Provider Name / Credentials Updated October 26, 2012

Recorded as DAVID POLLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2012

Orthopaedic Surgery (License #34661 in MN)

🟢

Initial NPI Registration & Enumeration August 10, 2006

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: 1669483046

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: October 26, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

University Of Minnesota Physicians, 2512 South 7th Street, Suite R102

Minneapolis, MN 55454

Phone: 6122739400

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.