Active NPI 1548640873 Individual Practitioner Female Practitioner

Tiffany E Polo

Nurse Practitioner • King William, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tiffany Polo is a certified Nurse Practitioner practicing in King William, VA. With approximately 11 years of clinical experience since completing medical education in 2015, Tiffany Polo delivers high-quality medical care to the local community at 1041 SHARON RD.

Tiffany Polo is affiliated with Richmond Heart And Vascular Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, new 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

1041 Sharon Rd
Suite 205

King William, VA 230863347

Telephone 8047461677

Fax 8047693170

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in King William, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

1 Specialists

Practicing in King William, VA (1750 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Polo (11 Years) 11 Yrs

King William Specialty Average (11.0 Years) 11.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	106	$378.67	$105.45
99213 Established patient office or other outpatient visit, typically 15 minutes	85	66	$264.89	$74.73
36415 Insertion of needle into vein for collection of blood sample	60	53	$25.71	$8.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$495.99	$140.88
81003 Automated urinalysis test	24	18	$12.00	$2.20
83036 Hemoglobin A1C level	14	12	$29.13	$9.52

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	336	171	$278.87	$80.97
99213 Established patient office or other outpatient visit, typically 15 minutes	186	137	$166.06	$55.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$213.07	$107.71
G0008 Administration of influenza virus vaccine	20	20	$38.00	$30.15
99443 Telephone medical discussion with physician, 21-30 minutes	19	16	$192.00	$81.01
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$123.00	$75.81

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	262	147	$182.71	$83.79
99213 Established patient office or other outpatient visit, typically 15 minutes	230	155	$76.60	$56.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$128.00	$112.25
99443 Telephone medical discussion with physician, 21-30 minutes	21	20	$192.00	$83.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$115.36
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$135.00	$58.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$28.00	$7.02

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	327	172	$180.28	$85.67
99213 Established patient office or other outpatient visit, typically 15 minutes	177	128	$76.00	$57.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$127.07	$114.31
99443 Telephone medical discussion with physician, 21-30 minutes	27	26	$158.67	$85.66
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$131.22	$58.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$116.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$28.00	$7.14
99496 Transitional care management services for problem of high complexity	12	11	$261.00	$168.55

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	387	202	$193.37	$68.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$183.22	$100.14
99213 Established patient office or other outpatient visit, typically 15 minutes	86	65	$111.56	$44.88
99443 Telephone medical discussion with physician, 21-30 minutes	46	38	$139.17	$68.70
99442 Telephone medical discussion with physician, 11-20 minutes	46	41	$99.35	$47.54
G0444 Annual depression screening, 5 to 15 minutes	44	44	$17.36	$8.31
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$48.94	$24.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$111.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$28.00	$7.37
G0008 Administration of influenza virus vaccine	11	11	$38.00	$16.64

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	676	268	$179.82	$67.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$255.00	$99.26
99213 Established patient office or other outpatient visit, typically 15 minutes	151	111	$78.76	$44.07
G0008 Administration of influenza virus vaccine	110	110	$38.00	$16.42
90653 Vaccine for influenza for injection into muscle	104	104	$151.00	$57.78
G0444 Annual depression screening, 5 to 15 minutes	97	97	$11.00	$8.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	30	$28.00	$7.29
G0442 Annual alcohol misuse screening, 5 to 15 minutes	31	31	$11.00	$8.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$295.18	$91.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$381.00	$146.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$159.71	$100.82
G0009 Administration of pneumococcal vaccine	14	14	$58.00	$16.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$350.00	$110.35
99496 Transitional care management services for problem of high complexity	12	11	$261.00	$136.82

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	286	149	$179.49	$66.54
99213 Established patient office or other outpatient visit, typically 15 minutes	194	128	$77.43	$43.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$255.00	$98.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$28.00	$7.18
G0444 Annual depression screening, 5 to 15 minutes	23	23	$12.74	$8.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$350.00	$109.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes	20	20	$11.00	$8.04
99496 Transitional care management services for problem of high complexity	16	15	$287.25	$135.30

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	206	118	$182.37	$65.68
99213 Established patient office or other outpatient visit, typically 15 minutes	170	129	$77.64	$42.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$255.00	$96.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	21	$28.00	$7.15
G0444 Annual depression screening, 5 to 15 minutes	16	16	$38.50	$8.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$109.66

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024172717

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Ptan

C05698 (VA)

Hospital & Practice Group Affiliations

Richmond Heart And Vascular Associates

8243 Meadowbridge Rd, Mechanicsville, VA 231162329

Phone: 8048006600

Practice Associates & Co-Workers

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

3 Associated Practitioners

Augustine Lewis

Family Medicine

NPI 1265469738

Jill Storment , AGPCNP

Nurse Practitioner - Primary Care

NPI 1669945663

Dr. Robert Rose , MD

Family Medicine

NPI 1730527342

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 July 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2015

Registered at 1041 SHARON RD, SUITE 205, KING WILLIAM, VA 230863347 (Tel: 8047461677)

📍

Updated Business Mailing Address July 16, 2015

Registered at 1041 SHARON RD, SUITE 205, KING WILLIAM, VA 230863347 (Tel: 8047461677)

👤

Provider Name / Credentials Updated July 16, 2015

Recorded as TIFFANY POLO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Nurse Practitioner (License #0024172717 in VA)

🟢

Initial NPI Registration & Enumeration June 02, 2015

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: 1548640873

Entity Type:

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

Enumeration Date: June 02, 2015

Last Update: July 16, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1041 Sharon Rd, Suite 205

King William, VA 230863347

Phone: 8047461677

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.