Active NPI 1952568552 Individual Practitioner Male Practitioner

Dr. Jonathan Daniel Polk , MD

Surgery • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Polk, MD is a certified Surgery practicing in Nacogdoches, TX. With approximately 22 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2004, Dr. Polk delivers high-quality medical care to the local community at 4800 NE STALLINGS DR STE 114.

Dr. Polk accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4800 Ne Stallings Dr Ste 114

Nacogdoches, TX 759651250

Telephone 9365690680

Fax 9362054130

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nacogdoches, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -4.1 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Nacogdoches, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polk (22 Years) 22 Yrs

Nacogdoches Specialty Average (26.1 Years) 26.1 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$206.08	$105.76
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$175.00	$86.11
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$155.00	$68.42
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$350.00	$78.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$145.00	$53.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$425.00	$123.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$330.00	$158.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$85.00	$46.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$585.00	$167.05
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$450.00	$172.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$775.00	$230.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$750.00	$171.84
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$250.00	$78.43
49505 Repair of groin hernia (5 years or older)	11	11	$1420.00	$498.45

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	78	78	$210.13	$107.27
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$175.00	$86.54
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$155.00	$69.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$330.00	$159.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$425.00	$124.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$145.00	$54.04
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$468.18	$160.57
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$350.00	$96.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$585.00	$167.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$775.00	$230.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$250.00	$122.37

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	92	92	$206.74	$107.74
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$175.00	$88.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$330.00	$162.08
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$450.00	$171.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$350.00	$87.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$425.00	$129.97
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$155.00	$70.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$145.00	$54.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$585.00	$177.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$85.00	$37.20
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$250.00	$95.88
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$50.00	$17.89
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$650.00	$320.42

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	$205.96	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$330.52	$163.39
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$175.00	$89.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$356.25	$83.31
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$450.00	$172.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$425.00	$131.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$775.00	$241.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$585.00	$166.46
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$155.00	$70.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$250.00	$126.50
47562 Removal of gallbladder using an endoscope	14	14	$1500.00	$612.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$145.00	$54.77

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	55	55	$206.45	$104.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$330.00	$160.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$361.90	$90.12
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$450.00	$175.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$425.00	$135.23
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$155.00	$73.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$250.00	$105.96
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$175.00	$71.77
47562 Removal of gallbladder using an endoscope	16	16	$1521.88	$650.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$585.00	$177.90
49505 Repair of groin hernia (5 years or older)	13	12	$1420.00	$514.53
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$250.00	$99.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	58	$442.50	$90.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$207.96	$104.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$330.00	$158.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$425.00	$133.17
45378 Diagnostic exam of large bowel using a flexible endoscope	43	42	$463.95	$176.33
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$175.00	$71.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$250.00	$104.93
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$155.00	$73.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$481.67	$196.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$585.00	$171.86
47562 Removal of gallbladder using an endoscope	12	12	$1500.00	$650.56

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	53	53	$209.53	$97.96
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	49	$556.12	$96.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$425.00	$125.77
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$175.00	$66.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$331.94	$149.80
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$677.27	$172.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$250.00	$97.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$85.00	$36.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$140.00	$66.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$475.00	$186.47
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$585.00	$161.49
47562 Removal of gallbladder using an endoscope	14	14	$1663.21	$615.35
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$155.00	$68.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$663.33	$98.29

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	65	65	$208.69	$95.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$425.00	$122.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	45	$532.98	$90.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$250.00	$96.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$330.00	$147.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	38	23	$76.58	$40.34
45378 Diagnostic exam of large bowel using a flexible endoscope	37	36	$644.59	$162.42
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$175.00	$65.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$478.23	$183.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$85.00	$35.61
47562 Removal of gallbladder using an endoscope	26	26	$1592.69	$603.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$145.53	$65.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$635.00	$105.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$585.00	$164.73
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$155.00	$66.92
76937 Ultrasonic guidance for blood vessel access	11	11	$75.00	$13.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX N0372

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.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2013

Registered at 4800 NE STALLINGS DR STE 114, NACOGDOCHES, TX 759651250 (Tel: 9365690680)

📍

Updated Business Mailing Address November 18, 2013

Registered at 4800 NE STALLINGS DR STE 114, NACOGDOCHES, TX 759651250 (Tel: 9365690680)

👤

Provider Name / Credentials Updated November 18, 2013

Recorded as JONATHAN POLK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2013

Surgery (License #N0372 in TX)

🟢

Initial NPI Registration & Enumeration May 21, 2008

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: 1952568552

Entity Type:

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

Enumeration Date: May 21, 2008

Last Update: November 18, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4800 Ne Stallings Dr Ste 114

Nacogdoches, TX 759651250

Phone: 9365690680

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.