Active NPI 1477664415 Individual Practitioner Female Practitioner

Dr. Polly Laura Stephens , MD

Surgery • Midlothian, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Polly Stephens, MD is a certified Surgery practicing in Midlothian, VA. With approximately 33 years of clinical experience since graduating from Tulane University School Of Medicine in 1993, Dr. Stephens delivers high-quality medical care to the local community at 601 WATKINS CENTRE PARKWAY.

Dr. Stephens is affiliated with Bon Secours Medical Group Richmond Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include limited ultrasound scan of 1 breast, established patient outpatient office visit, 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

601 Watkins Centre Parkway
Suite 200

Midlothian, VA 23114

Telephone 8045943130

Fax 8044236517

Associated Practice Facility / Clinic

🏢 Bon Secours St. Francis Medical Center, Inc. Facility NPI 1245514066

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Midlothian, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +8.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Midlothian, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (33 Years) 33 Yrs

Midlothian Specialty Average (24.2 Years) 24.2 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
76642 Limited ultrasound scan of 1 breast	68	64	$278.47	$84.67
99213 Established patient office or other outpatient visit, typically 15 minutes	54	49	$216.63	$86.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$320.63	$107.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$169.80	$54.87
19301 Partial removal of breast	29	27	$1822.76	$631.99
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$221.92	$70.15
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	21	19	$1504.00	$474.24
76998 Ultrasonic guidance during surgery	19	19	$190.00	$43.68
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1255.06	$215.81
38900 Lymph node imaging during surgery	16	16	$335.75	$132.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	78	76	$287.60	$89.58
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$215.00	$89.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$318.00	$108.53
19301 Partial removal of breast	36	31	$1810.94	$661.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$168.00	$56.18
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	31	31	$1504.00	$486.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$489.00	$165.10
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$1248.45	$223.62
38900 Lymph node imaging during surgery	19	19	$332.63	$137.16
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$220.00	$71.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1043.00	$257.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$59.00	$17.66
76937 Ultrasonic guidance for blood vessel access	11	11	$47.00	$13.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	70	70	$278.03	$88.80
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$215.00	$91.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$318.00	$108.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$168.00	$56.97
19301 Partial removal of breast	36	33	$1762.00	$651.84
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	27	27	$1504.00	$504.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	26	25	$1234.73	$251.74
38900 Lymph node imaging during surgery	24	24	$316.00	$134.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$489.00	$168.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$318.00	$128.44
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$220.00	$73.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1043.00	$319.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$215.00	$92.67
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	35	33	$1504.00	$591.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$318.00	$113.92
76642 Limited ultrasound scan of 1 breast	33	33	$286.91	$95.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$168.00	$57.05
76641 Complete ultrasound scan of 1 breast	29	27	$342.07	$112.94
19301 Partial removal of breast	22	22	$1762.00	$676.70
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1189.00	$225.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$489.00	$170.40
38900 Lymph node imaging during surgery	15	15	$316.00	$140.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$318.00	$131.67
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$220.00	$74.18
36590 Removal of peripheral venous catheter for infusion	11	11	$594.00	$166.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$215.00	$76.20
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$220.00	$77.00
19301 Partial removal of breast	35	30	$1762.00	$642.44
76641 Complete ultrasound scan of 1 breast	32	32	$320.00	$108.92
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	28	28	$1504.00	$619.13
76642 Limited ultrasound scan of 1 breast	27	26	$263.00	$90.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$1189.00	$227.74
38900 Lymph node imaging during surgery	22	22	$316.00	$144.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$318.00	$109.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	15	$542.00	$58.27
76998 Ultrasonic guidance during surgery	14	14	$190.00	$64.37
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$59.00	$19.14
76937 Ultrasonic guidance for blood vessel access	11	11	$47.00	$14.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1043.00	$301.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	78	$215.00	$73.59
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$220.00	$75.37
76641 Complete ultrasound scan of 1 breast	38	35	$336.84	$107.38
76642 Limited ultrasound scan of 1 breast	37	37	$270.11	$89.03
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	29	29	$1504.00	$619.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	23	$542.00	$55.73
10160 Aspiration of abscess, blood accumulation, blister, or cyst	25	20	$346.00	$102.55
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1189.00	$223.66
19301 Partial removal of breast	21	21	$1762.00	$637.54
38900 Lymph node imaging during surgery	19	19	$316.00	$134.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$318.00	$108.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	75	$215.00	$71.85
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$220.00	$74.44
76642 Limited ultrasound scan of 1 breast	57	55	$263.00	$86.96
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	42	42	$1504.00	$667.52
19301 Partial removal of breast	35	30	$1812.34	$663.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$1304.06	$230.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	21	$542.00	$59.59
38900 Lymph node imaging during surgery	29	29	$326.90	$141.34
10160 Aspiration of abscess, blood accumulation, blister, or cyst	28	19	$346.00	$108.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$318.00	$106.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$318.00	$102.99
76937 Ultrasonic guidance for blood vessel access	13	12	$47.00	$14.42
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$59.00	$18.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1043.00	$302.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	73	$215.00	$70.61
76642 Limited ultrasound scan of 1 breast	56	52	$263.00	$84.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$318.00	$103.64
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$220.00	$73.62
19301 Partial removal of breast	28	24	$1762.00	$579.67
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	24	$1564.16	$649.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	21	$542.00	$59.67
10160 Aspiration of abscess, blood accumulation, blister, or cyst	21	17	$346.00	$107.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$1189.00	$198.99
38900 Lymph node imaging during surgery	19	19	$316.00	$131.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$318.00	$98.95
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1043.00	$281.77
76937 Ultrasonic guidance for blood vessel access	12	12	$47.00	$14.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$59.00	$18.86

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101057448

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010187311 (VA)

Hospital & Practice Group Affiliations

Bon Secours Medical Group Richmond Specialty Care Llc

5801 Bremo Rd, Richmond, VA 232261907

Phone: 8047646000

Bon Secours Medical Group Richmond Specialty Care Llc

1510 N 28th St, Richmond, VA 232235311

Bon Secours Medical Group Richmond Specialty Care Llc

601 Watkins Centre Pkwy, Midlothian, VA 231140002

Phone: 8045943130

Bon Secours Medical Group Richmond Specialty Care Llc

210 Medical Park Blvd, Petersburg, VA 238059348

Bon Secours Medical Group Richmond Specialty Care Llc

40 Medical Park Blvd, Petersburg, VA 238059289

Bon Secours Medical Group Richmond Specialty Care Llc

13700 St Francis Blvd, Midlothian, VA 231143222

Phone: 8042818303

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. James Pellicane , MD, FACS

Surgery

NPI 1093704454

Doctor of Medicine (M.D.), FACS

Dr. Leisha Elmore , MD

Surgery - Surgical Oncology

NPI 1114367794

Doctor of Medicine (M.D.)

Ida Vaclavik , NP

Nurse Practitioner - Family

NPI 1134408644

Nurse Practitioner

Sarah Peterson , PA-C

Physician Assistant

NPI 1194564989

Physician Assistant (Certified)

Dr. Misti Wilson , MD

Surgery

NPI 1407035629

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 November 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2013

Registered at 601 WATKINS CENTRE PARKWAY, SUITE 200, MIDLOTHIAN, VA 23114 (Tel: 8045943130)

📍

Updated Business Mailing Address November 21, 2013

Registered at 601 WATKINS CENTRE PARKWAY, SUITE 200, MIDLOTHIAN, VA 23114 (Tel: 8045943130)

👤

Provider Name / Credentials Updated November 21, 2013

Recorded as POLLY STEPHENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Surgery (License #0101057448 in VA)

🟢

Initial NPI Registration & Enumeration August 31, 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: 1477664415

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: November 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 Watkins Centre Parkway, Suite 200

Midlothian, VA 23114

Phone: 8045943130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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