Active NPI 1417987561 Individual Practitioner Female Practitioner

Polly Ann Waters , RNFA, FNP-C

Nurse Practitioner • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Polly Waters, RNFA, FNP-C is a certified Nurse Practitioner practicing in Dallas, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Polly Waters delivers high-quality medical care to the local community at 9301 N CENTRAL EXPY.

Polly Waters is affiliated with Ortholonestar Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9301 N Central Expy
Suite 400

Dallas, TX 752310806

Telephone 2142202468

Fax 2143971551

Associated Practice Facility / Clinic

🏢 Synergy Orthotics & Prosthetics, Llc Facility NPI 1447203369

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +14.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

451 Specialists

Practicing in Dallas, TX (4894 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waters (24 Years) 24 Yrs

Dallas Specialty Average (10.0 Years) 10.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	193	55	$5.00	$1.00
20610 Aspiration and/or injection of fluid from large joint	73	60	$276.16	$62.71
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$233.00	$76.25
73564 X-ray of knee, 4 or more views	57	37	$138.25	$29.15
73030 X-ray of shoulder, minimum of 2 views	35	27	$101.80	$23.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$334.00	$93.25
73080 X-ray of elbow, minimum of 3 views	16	12	$96.50	$18.34
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$111.00	$22.38
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$678.00	$141.81
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$427.00	$32.89
23430 Anchoring of biceps tendon	12	12	$472.00	$49.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	49	$5.12	$1.08
20610 Aspiration and/or injection of fluid from large joint	59	51	$259.83	$60.21
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$233.00	$76.43
73564 X-ray of knee, 4 or more views	39	31	$137.03	$20.18
73030 X-ray of shoulder, minimum of 2 views	39	31	$102.38	$13.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$334.00	$94.83
27447 Replacement of knee joint, both sides of knee	15	14	$859.00	$171.25
72050 X-ray of upper spine, 4 or 5 views	12	12	$157.00	$25.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	129	47	$5.04	$1.21
20610 Aspiration and/or injection of fluid from large joint	60	50	$280.00	$64.60
73564 X-ray of knee, 4 or more views	33	25	$137.45	$40.74
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$233.00	$77.75
73030 X-ray of shoulder, minimum of 2 views	28	25	$102.36	$30.42
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	26	18	$1525.00	$622.25
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$111.00	$22.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$334.00	$95.44
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$427.00	$40.87
23430 Anchoring of biceps tendon	13	13	$472.00	$49.60
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$678.00	$142.78
27447 Replacement of knee joint, both sides of knee	11	11	$859.00	$172.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	13	13	$857.77	$175.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	33	$5.70	$1.52
20610 Aspiration and/or injection of fluid from large joint	38	34	$223.96	$65.07
73030 X-ray of shoulder, minimum of 2 views	28	23	$100.00	$28.66
73564 X-ray of knee, 4 or more views	25	18	$122.07	$38.04
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$223.53	$64.84
27447 Replacement of knee joint, both sides of knee	17	17	$1340.33	$195.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$329.94	$90.93
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	11	$176.95	$24.16
29827 Repair of shoulder rotator cuff using an endoscope	12	11	$1071.98	$148.67
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$601.92	$21.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	309	86	$5.70	$1.58
20610 Aspiration and/or injection of fluid from large joint	114	86	$222.34	$60.06
73564 X-ray of knee, 4 or more views	64	48	$122.07	$34.05
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$223.53	$62.40
73030 X-ray of shoulder, minimum of 2 views	54	44	$97.49	$24.01
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	37	26	$2185.89	$1040.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$329.94	$89.74
27447 Replacement of knee joint, both sides of knee	18	17	$2086.94	$186.55
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$229.83	$65.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$270.67	$24.06
73080 X-ray of elbow, minimum of 3 views	16	15	$96.90	$25.60
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$1627.75	$145.37
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$1030.12	$32.09
23430 Anchoring of biceps tendon	11	11	$1145.16	$51.29
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$150.27	$43.88
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$955.27	$20.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	321	87	$5.65	$1.72
20610 Aspiration and/or injection of fluid from large joint	121	90	$225.65	$58.94
73564 X-ray of knee, 4 or more views	70	50	$122.07	$34.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	64	36	$2059.56	$520.68
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$221.71	$61.38
73030 X-ray of shoulder, minimum of 2 views	48	38	$90.59	$21.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$322.10	$88.68
73080 X-ray of elbow, minimum of 3 views	18	17	$96.90	$27.07
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$150.27	$41.95
27447 Replacement of knee joint, both sides of knee	13	13	$2086.78	$186.40
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$229.83	$64.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	273	81	$2.46	$1.77
20610 Aspiration and/or injection of fluid from large joint	109	78	$266.06	$58.10
73564 X-ray of knee, 4 or more views	72	50	$116.00	$33.96
73030 X-ray of shoulder, minimum of 2 views	61	47	$103.00	$24.85
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$116.00	$62.34
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	46	25	$1740.00	$552.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$181.00	$91.64
73080 X-ray of elbow, minimum of 3 views	22	19	$102.00	$26.63
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$142.00	$63.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$210.00	$92.04
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$166.00	$41.78
72050 X-ray of upper spine, 4 or 5 views	12	12	$164.00	$38.80

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 646178

(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

Ortholonestar Pllc

9301 N Central Expy, Dallas, TX 752310805

Phone: 2142202468

Practice Associates & Co-Workers

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

40 Associated Practitioners

Riya Sharma , PA-C

Physician Assistant

NPI 1003602814

Physician Assistant (Certified)

Connor Baze , PA-C

Physician Assistant

NPI 1013772094

Physician Assistant (Certified)

Dr. Sumant Krishnan , MD

Orthopaedic Surgery

NPI 1013939487

Doctor of Medicine (M.D.)

Dr. Dustin Tabor , DPT

Physical Therapist

NPI 1023343068

Doctor of Physical Therapy

Terry Perez , PT

Physical Therapist

NPI 1033223714

Physical Therapist

Dr. Elizabeth Holland , PT, DPT

Physical Therapist

NPI 1063039097

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 04, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2009

Registered at 9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 752310806 (Tel: 2142202468)

📍

Updated Business Mailing Address November 04, 2009

Registered at 9301 N. CENTRAL EXWPY, SUITE 400, DALLAS, TX 752310805 (Tel: 2142202468)

👤

Provider Name / Credentials Updated November 04, 2009

Recorded as POLLY WATERS, RNFA, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2009

Nurse Practitioner (License #646178 in TX)

🟢

Initial NPI Registration & Enumeration July 04, 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: 1417987561

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: November 04, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9301 N. Central Exwpy, Suite 400

Dallas, TX 752310805

Phone: 2142202468

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.